Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $49.74 / $50.41	Professional		$44.36	$49.74	$50.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $62.03 / $99.28	Professional		$54.44	$62.03	$99.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $46.41 / $86.97	Facility		$35.61	$46.41	$86.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $67.22 / $98.83	Professional		$35.61	$67.22	$98.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $84.01 / $100.82	Professional		$67.20	$84.01	$100.82
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $40.33 / $51.08	Professional		$28.23	$40.33	$51.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $33.61 / $65.97	Professional		$26.21	$33.61	$65.97