Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $131.83	Professional		$52.48	$74.13	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $120.23	Professional		$104.71	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $128.82	Professional		$93.33	$93.33	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $177.83	Professional		$77.62	$109.65	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $109.65	Facility		$61.66	$87.10	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $151.36	Professional		$81.28	$95.50	$151.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $104.71	Professional		$66.07	$104.71	$104.71