Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $48.31 / $79.52	Professional		$42.51	$48.31	$79.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $59.46 / $95.20	Professional		$52.17	$59.46	$95.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $44.59 / $83.35	Facility		$34.14	$44.59	$83.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $68.42 / $104.92	Professional		$34.14	$68.42	$104.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $80.51 / $96.62	Professional		$64.41	$80.51	$96.62
United Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $27.05 / $27.05	Facility		$27.05	$27.05	$27.05
United Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $38.65 / $48.95	Professional		$28.98	$38.65	$48.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.21 / $63.22	Professional		$25.12	$32.21	$63.22