Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $63.80 / $85.41	Professional		$51.64	$63.80	$85.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $34.31 / $53.18	Professional		$33.35	$34.31	$53.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $74.94 / $135.00	Facility		$74.94	$74.94	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.08 / $76.87 / $132.11	Professional		$57.08	$76.87	$132.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $78.38 / $111.98	Professional		$59.72	$78.38	$111.98
United Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $65.27 / $113.53	Professional		$48.94	$65.27	$113.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00