Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $48.31 / $120.00	Professional		$42.29	$48.31	$120.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $81.09	Professional		$51.00	$51.00	$81.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $59.93 / $120.21	Professional		$45.72	$59.93	$120.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $58.49 / $80.73	Professional		$45.56	$58.49	$80.73
United Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $51.67 / $83.13	Professional		$38.44	$51.67	$83.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Professional		$57.00	$57.00	$57.00