Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $131.83	Professional		$38.90	$58.88	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $79.43	Professional		$61.66	$61.66	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $74.13	Facility		$70.79	$70.79	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $70.79	Professional		$51.29	$51.29	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $173.78	Professional		$81.28	$114.82	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $54.95 / $85.11	Facility		$38.02	$54.95	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $89.13	Professional		$51.29	$56.23	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $81.28	Professional		$69.18	$72.44	$81.28