Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $114.82	Professional		$70.79	$85.11	$114.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Facility		$95.50	$95.50	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $190.55	Professional		$91.20	$128.82	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $61.66 / $100.00	Facility		$8.71	$61.66	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $173.78	Professional		$70.79	$97.72	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $107.15	Professional		$104.71	$104.71	$107.15