Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $74.15 / $99.05	Professional		$41.71	$74.15	$99.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $37.39 / $41.13	Professional		$36.96	$37.39	$41.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $57.41	Facility		$50.00	$50.00	$57.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $87.21 / $176.55	Professional		$43.14	$87.21	$176.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $121.70 / $162.24	Professional		$94.34	$121.70	$162.24
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 $62.03 / $93.34 / $165.92	Professional		$62.03	$93.34	$165.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $108.49 / $133.13	Professional		$73.73	$108.49	$133.13