Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $257.04	Professional		$66.07	$114.82	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $109.65	Professional		$54.95	$66.07	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $169.82	Professional		$67.61	$100.00	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $165.96	Professional		$72.44	$120.23	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $66.07 / $102.33	Facility		$42.66	$66.07	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $162.18	Professional		$61.66	$95.50	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $162.18	Professional		$74.13	$107.15	$162.18