Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $138.04	Professional		$61.66	$79.43	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $107.15	Professional		$85.11	$85.11	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
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 $47.86 / $69.18 / $104.71	Facility		$47.86	$69.18	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $123.03	Professional		$63.10	$75.86	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $128.82	Professional		$83.18	$83.18	$128.82