Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $95.50	Professional		$57.54	$72.44	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $131.83	Facility		$44.67	$44.67	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $100.00	Professional		$38.02	$38.02	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $141.25	Professional		$91.20	$123.03	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $43.65 / $85.11	Facility		$4.90	$43.65	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $114.82	Professional		$53.70	$72.44	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $102.33	Professional		$97.72	$97.72	$102.33