Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $104.71	Professional		$45.71	$58.88	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $79.43	Professional		$63.10	$63.10	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $64.57	Professional		$46.77	$46.77	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $173.78	Professional		$81.28	$114.82	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $77.62	Facility		$34.67	$50.12	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $89.13	Professional		$46.77	$56.23	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $95.50	Professional		$61.66	$61.66	$95.50