Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $45.29 / $144.00	Professional		$21.94	$45.29	$144.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $38.75 / $47.45	Professional		$38.75	$38.75	$47.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $44.91 / $44.91	Facility		$44.91	$44.91	$44.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $38.17 / $52.85	Professional		$38.17	$38.17	$52.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $69.42 / $99.96	Professional		$48.59	$69.42	$99.96
United Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $34.63 / $54.91	Professional		$26.57	$34.63	$54.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $31.06 / $48.59	Professional		$31.06	$31.06	$48.59