Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $128.82	Professional		$37.15	$48.98	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $61.66	Professional		$40.74	$44.67	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $120.23	Professional		$40.74	$61.66	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $89.13	Professional		$47.86	$58.88	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $93.33	Professional		$39.81	$56.23	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $79.43	Professional		$56.23	$72.44	$79.43