Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $107.15	Professional		$72.44	$85.11	$107.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $70.79	Professional		$56.23	$61.66	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $223.87	Professional		$74.13	$112.20	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $162.18	Professional		$81.28	$93.33	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $154.88	Professional		$67.61	$91.20	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71