Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $79.43	Professional		$47.86	$57.54	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $51.29 / $58.88	Professional		$19.50	$51.29	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $44.67 / $83.18	Facility		$33.88	$44.67	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $223.87	Professional		$33.88	$48.98	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $97.72	Professional		$64.57	$70.79	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.90 / $48.98	Facility		$26.92	$30.90	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $58.88	Professional		$28.84	$38.90	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $63.10 / $97.72	Professional		$25.12	$63.10	$97.72