Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $109.65	Professional		$67.61	$81.28	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $72.44 / $100.00	Professional		$32.36	$72.44	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $61.66 / $117.49	Facility		$47.86	$61.66	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $295.12	Professional		$47.86	$72.44	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $177.83	Professional		$91.20	$100.00	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $43.65 / $69.18	Facility		$38.02	$43.65	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $83.18	Professional		$40.74	$53.70	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $89.13 / $138.04	Professional		$35.48	$89.13	$138.04