Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $85.49 / $110.17	Professional		$63.65	$85.49	$110.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $61.85 / $68.04	Professional		$60.41	$61.85	$68.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $62.91	Facility		$50.00	$50.00	$62.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $108.02 / $215.69	Professional		$67.92	$108.02	$215.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.82 / $140.38 / $186.66	Professional		$108.82	$140.38	$186.66
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $97.47 / $185.24	Professional		$71.05	$97.47	$185.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $125.14 / $153.75	Professional		$79.51	$125.14	$153.75