Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $59.86 / $81.63	Professional		$47.13	$59.86	$81.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $75.56 / $75.56	Professional		$75.56	$75.56	$75.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $95.86	Facility		$73.04	$73.04	$95.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $62.08 / $88.31	Professional		$62.08	$62.08	$88.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $96.13 / $116.88	Professional		$74.77	$96.13	$116.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $40.29 / $68.48	Facility		$5.51	$40.29	$68.48
United Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $61.72 / $101.72	Professional		$48.14	$61.72	$101.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $87.43 / $90.79	Professional		$87.43	$87.43	$90.79