Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $50.62 / $81.95	Professional		$42.00	$50.62	$81.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $70.15	Professional		$55.00	$55.00	$70.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $66.72	Professional		$48.71	$48.71	$66.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $102.62 / $147.77	Professional		$71.83	$102.62	$147.77
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $51.19 / $81.59	Professional		$45.88	$51.19	$81.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $60.95 / $71.83	Professional		$60.95	$60.95	$71.83