Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $82.07 / $146.82	Professional		$76.87	$82.07	$146.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $104.85 / $128.38	Professional		$104.85	$104.85	$128.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $153.94	Facility		$107.42	$107.42	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $107.42	Professional		$78.42	$78.42	$107.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $187.82 / $270.45	Professional		$131.47	$187.82	$270.45
United Facility/Professional Facility Modifier Low / Median / High Price $58.13 / $85.00 / $100.06	Facility		$58.13	$85.00	$100.06
United Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $93.70 / $149.36	Professional		$77.51	$93.70	$149.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $105.86 / $131.47	Professional		$60.00	$105.86	$131.47