Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $71.86 / $135.65	Professional		$28.12	$71.86	$135.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $32.72 / $48.77	Professional		$24.87	$32.72	$48.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $46.38 / $46.38	Facility		$46.38	$46.38	$46.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $80.84 / $152.44	Professional		$30.15	$80.84	$152.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $101.82 / $150.19	Professional		$74.05	$101.82	$150.19
United Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $98.47 / $167.51	Professional		$74.70	$98.47	$167.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $109.00 / $121.11	Professional		$88.81	$109.00	$121.11