Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $65.59 / $112.59	Professional		$58.95	$65.59	$112.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $77.50 / $98.46	Professional		$77.50	$77.50	$98.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $83.71	Professional		$61.11	$61.11	$83.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $144.04 / $207.42	Professional		$100.83	$144.04	$207.42
United Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $65.33 / $77.56	Facility		$46.54	$65.33	$77.56
United Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $73.28 / $114.55	Professional		$62.05	$73.28	$114.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $79.78 / $100.83	Professional		$79.78	$79.78	$100.83