Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $63.01 / $103.71	Professional		$54.30	$63.01	$103.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $71.00 / $90.70	Professional		$71.00	$71.00	$90.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $106.22	Professional		$77.54	$77.54	$106.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $132.68 / $191.06	Professional		$92.88	$132.68	$191.06
United Facility/Professional Facility Modifier Low / Median / High Price $44.87 / $65.59 / $99.70	Facility		$44.87	$65.59	$99.70
United Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $66.19 / $105.50	Professional		$55.48	$66.19	$105.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $79.48 / $92.88	Professional		$79.48	$79.48	$92.88