Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $47.38 / $76.02	Professional		$39.79	$47.38	$76.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $66.47	Professional		$52.00	$52.00	$66.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $62.81	Facility		$56.69	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $62.81	Professional		$45.85	$45.85	$62.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $97.24 / $140.03	Professional		$68.06	$97.24	$140.03
United Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $48.51 / $77.33	Professional		$41.57	$48.51	$77.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $57.35 / $68.06	Professional		$57.35	$57.35	$68.06