Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $55.90 / $88.73	Professional		$43.06	$55.90	$88.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Professional		$86.66	$86.66	$86.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $81.41	Facility		$60.80	$60.80	$81.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $73.04	Professional		$51.68	$51.68	$73.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $82.29 / $105.80	Professional		$61.67	$82.29	$105.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $65.06 / $91.94	Professional		$47.77	$65.06	$91.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $73.72 / $74.89	Professional		$73.72	$73.72	$74.89