Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $125.89	Professional		$58.88	$75.86	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $102.33	Professional		$77.62	$77.62	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $100.00	Professional		$74.13	$74.13	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $223.87	Professional		$104.71	$147.91	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $72.44 / $109.65	Facility		$48.98	$72.44	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $114.82	Professional		$66.07	$72.44	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $123.03	Professional		$87.10	$87.10	$123.03