Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $100.00	Professional		$63.10	$74.13	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $141.25	Facility		$91.20	$91.20	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $117.49	Professional		$77.62	$77.62	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $147.91	Professional		$95.50	$131.83	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $53.70 / $95.50	Facility		$6.17	$53.70	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $131.83	Professional		$67.61	$87.10	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $114.82	Professional		$107.15	$107.15	$114.82