Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $120.23	Professional		$56.23	$64.57	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $107.15	Professional		$69.18	$72.44	$107.15
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 $61.66 / $85.11 / $138.04	Professional		$61.66	$85.11	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $107.15	Professional		$54.95	$72.44	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $141.25	Professional		$63.10	$83.18	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $100.00	Professional		$75.86	$75.86	$100.00