Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $54.55 / $90.42	Professional		$49.04	$54.55	$90.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $71.00 / $91.12	Professional		$71.00	$71.00	$91.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $75.47	Facility		$75.47	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $75.47	Professional		$55.09	$55.09	$75.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $133.29 / $191.94	Professional		$93.30	$133.29	$191.94
United Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $66.50 / $105.23	Professional		$46.56	$66.50	$105.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $61.87 / $93.30	Professional		$61.87	$61.87	$93.30