Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $55.87 / $150.00	Professional		$42.28	$55.87	$150.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $54.27 / $70.62	Professional		$54.27	$54.27	$70.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $67.98	Professional		$43.74	$43.74	$67.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $103.30 / $148.75	Professional		$72.31	$103.30	$148.75
United Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $51.53 / $82.14	Professional		$32.43	$51.53	$82.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $57.46 / $72.31	Professional		$27.76	$57.46	$72.31