Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $44.72 / $73.61	Professional		$38.54	$44.72	$73.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $64.37	Professional		$50.00	$50.00	$64.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $58.84	Facility		$58.84	$58.84	$58.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $58.84	Professional		$42.95	$42.95	$58.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $94.16 / $135.59	Professional		$65.91	$94.16	$135.59
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.98 / $74.88	Professional		$39.81	$46.98	$74.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $65.91	Professional		$56.42	$56.42	$65.91