Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $59.47 / $60.28	Professional		$53.04	$59.47	$60.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $64.14 / $174.08	Professional		$50.63	$64.14	$174.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $54.18 / $104.00	Facility		$17.60	$54.18	$104.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $83.18 / $181.54	Professional		$42.60	$83.18	$181.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $100.46 / $120.56	Professional		$80.37	$100.46	$120.56
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $47.14 / $61.08	Professional		$33.76	$47.14	$61.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $40.19 / $71.00	Professional		$13.23	$40.19	$71.00