Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $128.82	Professional		$60.26	$77.62	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $102.33	Professional		$79.43	$79.43	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $102.33	Professional		$74.13	$74.13	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $223.87	Professional		$104.71	$147.91	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $69.18 / $107.15	Facility		$47.86	$69.18	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $117.49	Professional		$64.57	$72.44	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $125.89	Professional		$85.11	$85.11	$125.89