Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $62.25 / $107.85	Professional		$61.42	$62.25	$107.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $91.30 / $119.17	Professional		$83.00	$91.30	$119.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $54.62 / $203.62	Professional		$45.09	$54.62	$203.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $99.60 / $124.50	Professional		$83.00	$99.60	$124.50
United Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $34.86 / $34.86	Facility		$34.86	$34.86	$34.86
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $45.64 / $75.53	Professional		$34.86	$45.64	$75.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $65.98 / $65.98	Professional		$41.50	$65.98	$65.98