Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $173.78	Professional		$60.26	$77.62	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $91.20	Professional		$53.70	$63.10	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $151.36	Professional		$66.07	$93.33	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $134.90	Professional		$67.61	$97.72	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $85.11	Facility		$52.48	$66.07	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $141.25	Professional		$64.57	$89.13	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $131.83	Professional		$93.33	$117.49	$131.83