Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $109.65 / $181.97	Professional		$41.69	$109.65	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $70.79	Professional		$43.65	$48.98	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $117.49 / $204.17	Professional		$44.67	$117.49	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $208.93	Professional		$97.72	$151.36	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $138.04	Facility		$47.86	$47.86	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $100.00 / $199.53	Professional		$41.69	$100.00	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $181.97 / $213.80	Professional		$48.98	$181.97	$213.80