Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $85.11	Professional		$40.74	$53.70	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $70.79	Professional		$53.70	$53.70	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $154.88	Professional		$72.44	$102.33	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $72.44 / $74.13	Facility		$63.10	$72.44	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $79.43	Professional		$45.71	$52.48	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $87.10	Professional		$58.88	$58.88	$87.10