Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $90.00 / $120.00	Professional		$88.80	$90.00	$120.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $96.00 / $109.44	Professional		$21.61	$96.00	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $85.32 / $346.18	Professional		$63.60	$85.32	$346.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $144.00 / $180.00	Professional		$120.00	$144.00	$180.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $50.40 / $50.40	Facility		$50.40	$50.40	$50.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $54.00 / $108.00	Professional		$50.40	$54.00	$108.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $95.40 / $95.40	Professional		$60.00	$95.40	$95.40