Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $60.26 / $94.88	Professional		$46.21	$60.26	$94.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $87.59 / $87.59	Professional		$87.59	$87.59	$87.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Facility		$76.68	$76.68	$76.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $76.68	Professional		$55.98	$55.98	$76.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $96.30 / $144.44	Professional		$67.41	$96.30	$144.44
United Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $71.01 / $83.59	Facility		$48.57	$71.01	$83.59
United Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $78.29 / $123.88	Professional		$60.05	$78.29	$123.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $86.04 / $86.04	Professional		$60.48	$86.04	$86.04