Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $67.61	Professional		$34.67	$44.67	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $60.26	Professional		$45.71	$45.71	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $131.83	Professional		$61.66	$87.10	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $60.26	Facility		$35.48	$58.88	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $67.61	Professional		$38.90	$44.67	$67.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $74.13	Professional		$46.77	$46.77	$74.13