Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.66 / $60.73	Professional		$33.11	$46.66	$60.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $94.73 / $94.73	Professional		$94.73	$94.73	$94.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $180.25 / $180.25	Facility		$72.00	$180.25	$180.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $57.09 / $96.09	Professional		$40.36	$57.09	$96.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $73.54 / $102.76	Professional		$60.18	$73.54	$102.76
United Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $65.83 / $88.48	Professional		$40.14	$65.83	$88.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $43.14 / $43.14	Professional		$43.14	$43.14	$43.14