Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $190.55	Professional		$40.74	$75.86	$190.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $194.98	Professional		$40.74	$45.71	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $165.96	Professional		$41.69	$77.62	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $141.25	Professional		$70.79	$95.50	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $123.03	Professional		$38.02	$67.61	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $120.23	Professional		$57.54	$104.71	$120.23