Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $58.72 / $103.01	Professional		$45.90	$58.72	$103.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $61.74 / $75.31	Professional		$59.00	$61.74	$75.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Facility		$68.84	$68.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $50.25	Professional		$50.25	$50.25	$50.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $110.17 / $158.63	Professional		$77.12	$110.17	$158.63
United Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $56.85 / $87.16	Professional		$49.63	$56.85	$87.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $66.73 / $77.12	Professional		$66.73	$66.73	$77.12