Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $125.89	Professional		$35.48	$45.71	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $50.12	Professional		$38.90	$43.65	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $70.79	Facility		$19.95	$35.48	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $281.84	Professional		$19.95	$28.84	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $81.28	Professional		$53.70	$60.26	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.70 / $53.70	Facility		$22.91	$25.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $52.48	Professional		$22.91	$25.70	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $43.65 / $81.28	Professional		$21.38	$43.65	$81.28