Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $177.83	Professional		$34.67	$61.66	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Facility		$85.11	$85.11	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $85.11	Professional		$61.66	$61.66	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $117.49	Professional		$54.95	$77.62	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $77.62	Facility		$38.90	$54.95	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $89.13	Professional		$52.48	$56.23	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $74.13	Professional		$46.77	$67.61	$74.13