Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $125.89	Professional		$79.43	$93.33	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $97.72	Professional		$83.18	$83.18	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $169.82	Professional		$114.82	$147.91	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $54.95 / $100.00	Facility		$6.61	$54.95	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $154.88	Professional		$72.44	$93.33	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34