Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $51.45 / $71.34	Professional		$50.76	$51.45	$71.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $68.59 / $83.01	Professional		$61.74	$68.59	$83.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $54.02 / $169.01	Professional		$37.68	$54.02	$169.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $85.75 / $130.88	Professional		$68.59	$85.75	$130.88
United Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $28.81 / $28.81	Facility		$28.81	$28.81	$28.81
United Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $60.09 / $119.80	Professional		$41.16	$60.09	$119.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $67.33 / $67.33	Professional		$34.29	$67.33	$67.33