Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $49.36 / $72.17	Professional		$35.35	$49.36	$72.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $61.56 / $99.28	Professional		$54.03	$61.56	$99.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $45.84 / $86.32	Facility		$35.35	$45.84	$86.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $70.38 / $117.55	Professional		$35.35	$70.38	$117.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $83.38 / $100.05	Professional		$66.70	$83.38	$100.05
United Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $39.13 / $50.69	Professional		$30.02	$39.13	$50.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $33.35 / $65.47	Professional		$26.01	$33.35	$65.47