Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $54.48 / $88.82	Professional		$47.68	$54.48	$88.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $64.92 / $75.94	Professional		$64.92	$64.92	$75.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $90.38	Facility		$90.38	$90.38	$90.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $76.81 / $90.38	Professional		$76.81	$76.81	$90.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $111.09 / $159.97	Professional		$77.76	$111.09	$159.97
United Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $58.20 / $87.90	Professional		$50.05	$58.20	$87.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $77.76	Professional		$61.54	$61.54	$77.76