Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $46.63 / $89.15	Professional		$36.50	$46.63	$89.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $77.45	Professional		$61.00	$61.00	$77.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $74.27	Facility		$70.80	$70.80	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $51.68	Professional		$51.68	$51.68	$51.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $113.31 / $163.16	Professional		$79.31	$113.31	$163.16
United Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $56.53 / $90.10	Professional		$47.91	$56.53	$90.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $72.69 / $79.31	Professional		$71.83	$72.69	$79.31