Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $65.12 / $78.86	Professional		$28.60	$65.12	$78.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $32.09 / $36.90	Professional		$32.09	$32.09	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $66.16 / $112.67	Professional		$28.43	$66.16	$112.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $83.56 / $157.13	Professional		$61.76	$83.56	$157.13
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $78.87 / $162.72	Professional		$59.74	$78.87	$162.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $63.29 / $83.56	Professional		$32.68	$63.29	$83.56