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 $65.95 / $65.95 / $80.77	Professional		$65.95	$65.95	$80.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Facility		$67.56	$67.56	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $67.58	Professional		$49.33	$49.33	$67.58
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 $53.21 / $58.94 / $93.95	Professional		$53.21	$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