Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $114.82	Professional		$54.95	$64.57	$114.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $95.50	Professional		$72.44	$72.44	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $208.93	Professional		$97.72	$138.04	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $87.10	Facility		$38.90	$57.54	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $107.15	Professional		$52.48	$67.61	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $114.82	Professional		$69.18	$69.18	$114.82