Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $50.87 / $82.13	Professional		$43.00	$50.87	$82.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $71.81	Professional		$56.00	$56.00	$71.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $61.48	Facility		$61.48	$61.48	$61.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $61.48	Professional		$44.88	$44.88	$61.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $105.05 / $151.27	Professional		$73.54	$105.05	$151.27
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $52.42 / $83.55	Professional		$44.36	$52.42	$83.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $58.94 / $73.54	Professional		$58.94	$58.94	$73.54