Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $92.91 / $128.47	Professional		$64.11	$92.91	$128.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $100.30	Professional		$81.92	$81.92	$100.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $103.71	Professional		$74.93	$74.93	$103.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $146.72 / $211.29	Professional		$102.71	$146.72	$211.29
United Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $72.59 / $97.64	Facility		$46.87	$72.59	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $73.20 / $116.08	Professional		$51.56	$73.20	$116.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $93.64 / $102.71	Professional		$93.64	$93.64	$102.71