Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $54.54 / $87.19	Professional		$43.03	$54.54	$87.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $67.44 / $90.72	Professional		$67.44	$67.44	$90.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $76.92	Facility		$57.45	$57.45	$76.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $48.83 / $76.92	Professional		$48.83	$48.83	$76.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $73.93 / $103.50	Professional		$54.47	$73.93	$103.50
United Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $57.76 / $91.34	Professional		$43.52	$57.76	$91.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $55.20 / $69.14	Professional		$55.20	$55.20	$69.14