Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $97.72	Professional		$43.65	$56.23	$97.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $75.86	Professional		$66.07	$66.07	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $66.07	Professional		$48.98	$48.98	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $165.96	Professional		$77.62	$112.20	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $48.98 / $75.86	Facility		$33.88	$48.98	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $87.10	Professional		$45.71	$54.95	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $60.26 / $93.33	Professional		$35.48	$60.26	$93.33