Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $61.01 / $82.86	Professional		$49.67	$61.01	$82.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $71.78 / $81.20	Professional		$71.78	$71.78	$81.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $74.67	Facility		$74.67	$74.67	$74.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.47 / $76.91	Professional		$63.47	$63.47	$76.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $99.97 / $119.97	Professional		$77.76	$99.97	$119.97
United Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $65.05 / $102.82	Professional		$49.05	$65.05	$102.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $88.42 / $90.95	Professional		$86.63	$88.42	$90.95