Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $102.33	Professional		$63.10	$75.86	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $75.86	Professional		$61.66	$67.61	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $154.88	Professional		$63.10	$87.10	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $109.65	Professional		$63.10	$83.18	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $141.25	Professional		$61.66	$87.10	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $123.03	Professional		$64.57	$95.50	$123.03