Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $52.01 / $129.51	Professional		$35.92	$52.01	$129.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $47.04 / $51.86	Professional		$47.04	$47.04	$51.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $55.94 / $122.47	Professional		$37.20	$55.94	$122.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $71.73 / $99.95	Professional		$59.26	$71.73	$99.95
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $57.26 / $120.49	Professional		$43.44	$57.26	$120.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $45.98 / $71.73	Professional		$43.88	$45.98	$71.73