Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $58.68 / $103.82	Professional		$47.10	$58.68	$103.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $64.25 / $78.67	Professional		$64.25	$64.25	$78.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $65.81	Professional		$48.04	$48.04	$65.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $115.08 / $165.72	Professional		$80.56	$115.08	$165.72
United Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $57.41 / $91.51	Professional		$47.50	$57.41	$91.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $63.10 / $80.56	Professional		$43.85	$63.10	$80.56