Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $50.90 / $66.03	Professional		$37.64	$50.90	$66.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $58.18	Professional		$56.00	$56.00	$58.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Facility		$50.36	$50.36	$50.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $50.36	Professional		$36.76	$36.76	$50.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $103.80 / $149.47	Professional		$72.66	$103.80	$149.47
United Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $52.00 / $82.12	Professional		$42.52	$52.00	$82.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $47.12 / $72.66	Professional		$47.12	$47.12	$72.66