Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $57.91 / $58.70	Professional		$41.47	$57.91	$58.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $72.25 / $116.96	Professional		$63.39	$72.25	$116.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $51.45 / $101.28	Facility		$41.48	$51.45	$101.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $79.04 / $151.50	Professional		$41.48	$79.04	$151.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $97.83 / $117.39	Professional		$78.26	$97.83	$117.39
United Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $37.17 / $59.04	Facility		$37.17	$37.17	$59.04
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $46.96 / $66.08	Professional		$32.86	$46.96	$66.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $39.13 / $76.81	Professional		$30.52	$39.13	$76.81