Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $71.66 / $117.96	Professional		$61.76	$71.66	$117.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $103.15	Professional		$81.00	$81.00	$103.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $97.79	Professional		$71.39	$71.39	$97.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $150.90 / $217.30	Professional		$105.63	$150.90	$217.30
United Facility/Professional Facility Modifier Low / Median / High Price $51.03 / $74.61 / $87.83	Facility		$51.03	$74.61	$87.83
United Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $75.28 / $120.00	Professional		$65.54	$75.28	$120.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $90.41 / $105.63	Professional		$90.41	$90.41	$105.63