Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $43.16 / $78.36	Professional		$38.65	$43.16	$78.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $92.00	Professional		$92.00	$92.00	$92.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $27.70 / $37.95	Professional		$27.70	$27.70	$37.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $94.08 / $130.71	Professional		$76.56	$94.08	$130.71
United Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $64.51 / $103.04	Professional		$46.44	$64.51	$103.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $350.36	Professional		$39.00	$39.00	$350.36