Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $35.01 / $243.45	Professional		$22.71	$35.01	$243.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $36.72	Professional		$28.69	$28.69	$36.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $40.64 / $62.97	Professional		$25.36	$40.64	$62.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $37.47 / $55.17	Professional		$27.86	$37.47	$55.17
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $36.60 / $59.72	Professional		$26.96	$36.60	$59.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $35.90 / $45.15	Professional		$32.17	$35.90	$45.15