Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $48.02 / $77.05	Professional		$43.55	$48.02	$77.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $80.20	Professional		$63.00	$63.00	$80.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $48.11 / $65.90	Professional		$48.11	$48.11	$65.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $117.32 / $168.94	Professional		$82.12	$117.32	$168.94
United Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $58.53 / $93.30	Professional		$39.02	$58.53	$93.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $52.72 / $82.12	Professional		$52.72	$52.72	$82.12