Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $72.00 / $144.16	Professional		$57.97	$72.00	$144.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $78.52 / $79.62	Professional		$78.52	$78.52	$79.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $52.17	Professional		$38.08	$38.08	$52.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $117.15 / $175.73	Professional		$82.01	$117.15	$175.73
United Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $106.32 / $165.49	Professional		$86.33	$106.32	$165.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $82.01	Professional		$39.00	$39.00	$82.01