Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $144.54	Professional		$74.13	$89.13	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $125.89	Professional		$97.72	$97.72	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $125.89	Facility		$117.49	$117.49	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $117.49	Professional		$85.11	$85.11	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $275.42	Professional		$128.82	$186.21	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $112.20	Facility		$51.29	$74.13	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $144.54	Professional		$67.61	$91.20	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $154.88	Professional		$91.20	$91.20	$154.88