Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $229.09	Professional		$77.62	$109.65	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $120.23	Professional		$81.28	$100.00	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $151.36	Facility		$131.83	$131.83	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $234.42	Professional		$79.43	$114.82	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $158.49	Professional		$102.33	$114.82	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $64.57 / $107.15	Facility		$19.95	$64.57	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $204.17	Professional		$81.28	$114.82	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $162.18	Professional		$79.43	$117.49	$162.18