Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $114.82	Professional		$56.23	$70.79	$114.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $95.50	Professional		$74.13	$74.13	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $93.33	Professional		$67.61	$67.61	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $208.93	Professional		$97.72	$141.25	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $95.50	Facility		$42.66	$63.10	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $109.65	Professional		$57.54	$69.18	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $75.86 / $117.49	Professional		$37.15	$75.86	$117.49