Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $56.00 / $106.37	Professional		$55.69	$56.00	$106.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $93.02	Professional		$73.00	$73.00	$93.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $75.81	Facility		$75.81	$75.81	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $75.81	Professional		$55.35	$55.35	$75.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $136.07 / $195.94	Professional		$95.25	$136.07	$195.94
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $67.88 / $108.20	Professional		$49.02	$67.88	$108.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $69.45 / $95.25	Professional		$69.45	$69.45	$95.25