Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $51.62 / $92.37	Professional		$48.36	$51.62	$92.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $62.08 / $80.77	Professional		$62.08	$62.08	$80.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $81.30	Facility		$81.30	$81.30	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $81.30	Professional		$59.35	$59.35	$81.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $118.15 / $170.14	Professional		$82.71	$118.15	$170.14
United Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $58.94 / $93.95	Professional		$48.76	$58.94	$93.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $64.79 / $82.71	Professional		$64.79	$64.79	$82.71