Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $58.20 / $78.65	Professional		$51.91	$58.20	$78.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $55.06 / $62.77	Professional		$38.70	$55.06	$62.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $50.86 / $101.78	Facility		$26.46	$50.86	$101.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $42.04 / $113.06	Professional		$27.09	$42.04	$113.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $94.38 / $117.98	Professional		$78.65	$94.38	$117.98
United Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $35.39 / $51.12	Professional		$23.39	$35.39	$51.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $39.33 / $62.53	Professional		$30.67	$39.33	$62.53