Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $43.28 / $47.96	Professional		$29.25	$43.28	$47.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $64.34 / $109.48	Professional		$58.49	$64.34	$109.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $41.51 / $169.31	Professional		$31.00	$41.51	$169.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $70.19 / $87.74	Professional		$58.49	$70.19	$87.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $27.92 / $53.22	Professional		$24.57	$27.92	$53.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $46.50 / $46.50	Professional		$29.25	$46.50	$46.50