Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $65.91 / $87.88	Professional		$58.00	$65.91	$87.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $70.30 / $95.20	Professional		$59.46	$70.30	$95.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $57.76 / $113.72	Facility		$43.07	$57.76	$113.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $68.42 / $126.48	Professional		$43.07	$68.42	$126.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $109.85 / $131.82	Professional		$87.88	$109.85	$131.82
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $42.00 / $57.12	Professional		$37.79	$42.00	$57.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $43.94 / $69.86	Professional		$34.27	$43.94	$69.86