Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $100.00	Professional		$53.70	$69.18	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $107.15	Professional		$81.28	$81.28	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $91.20	Professional		$67.61	$67.61	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $234.42	Professional		$109.65	$154.88	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $56.23 / $87.10	Facility		$38.90	$56.23	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $123.03	Professional		$52.48	$75.86	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $128.82	Professional		$69.18	$69.18	$128.82