Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $52.25 / $82.74	Professional		$43.32	$52.25	$82.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $72.34	Professional		$57.00	$57.00	$72.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Facility		$68.45	$68.45	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $68.45	Professional		$49.98	$49.98	$68.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $105.84 / $152.41	Professional		$74.09	$105.84	$152.41
United Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $52.80 / $84.17	Professional		$47.68	$52.80	$84.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $63.41 / $74.09	Professional		$63.41	$63.41	$74.09