Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $55.50 / $98.35	Professional		$53.34	$55.50	$98.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $92.70	Professional		$73.00	$73.00	$92.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $75.80	Professional		$55.33	$55.33	$75.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $135.61 / $195.28	Professional		$94.93	$135.61	$195.28
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $67.65 / $107.83	Professional		$48.58	$67.65	$107.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $64.55 / $94.93	Professional		$64.55	$64.55	$94.93