Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $93.33	Professional		$41.69	$53.70	$93.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $72.44	Professional		$54.95	$54.95	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $66.07	Professional		$48.98	$48.98	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $158.49	Professional		$72.44	$104.71	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $75.86	Facility		$34.67	$50.12	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $81.28	Professional		$45.71	$51.29	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $87.10	Professional		$60.26	$60.26	$87.10