Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $114.82	Professional		$66.07	$81.28	$114.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $81.28	Professional		$56.23	$69.18	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.11 / $50.12	Facility		$27.54	$33.11	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $154.88	Professional		$58.88	$77.62	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $141.25	Professional		$79.43	$91.20	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $125.89	Professional		$51.29	$67.61	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $114.82	Professional		$60.26	$83.18	$114.82