Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $128.82	Professional		$57.54	$72.44	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Professional		$60.26	$60.26	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $218.78	Professional		$102.33	$144.54	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $100.00	Facility		$44.67	$64.57	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $114.82	Professional		$58.88	$70.79	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $120.23	Professional		$77.62	$77.62	$120.23