Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $52.58 / $100.43	Professional		$50.32	$52.58	$100.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $87.82	Professional		$69.00	$69.00	$87.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Facility		$66.37	$66.37	$66.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $66.37	Professional		$48.45	$48.45	$66.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $128.47 / $185.00	Professional		$89.93	$128.47	$185.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $64.09 / $102.16	Professional		$44.20	$64.09	$102.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $62.64 / $89.93	Professional		$62.64	$62.64	$89.93