Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $93.33	Professional		$44.67	$61.66	$93.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $77.62	Professional		$60.26	$60.26	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $64.57	Professional		$46.77	$46.77	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $169.82	Professional		$79.43	$114.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $77.62	Facility		$34.67	$50.12	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $89.13	Professional		$46.77	$56.23	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $95.50	Professional		$61.66	$61.66	$95.50