Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $53.01 / $86.43	Professional		$46.41	$53.01	$86.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $60.62 / $73.91	Professional		$60.62	$60.62	$73.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $87.96	Facility		$87.96	$87.96	$87.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $74.77 / $87.96	Professional		$74.77	$74.77	$87.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $108.11 / $155.68	Professional		$75.68	$108.11	$155.68
United Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $55.58 / $85.53	Professional		$48.70	$55.58	$85.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $69.83 / $75.68	Professional		$59.91	$69.83	$75.68