Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $36.46 / $59.11	Professional		$30.95	$36.46	$59.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $51.69	Professional		$41.00	$41.00	$51.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $79.79	Facility		$65.20	$65.20	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $65.20	Professional		$47.60	$47.60	$65.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $75.61 / $108.88	Professional		$52.93	$75.61	$108.88
United Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $37.72 / $60.13	Professional		$31.97	$37.72	$60.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $45.30 / $52.93	Professional		$45.30	$45.30	$52.93