Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $67.22 / $112.35	Professional		$58.82	$67.22	$112.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $86.21	Professional		$68.00	$68.00	$86.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Facility		$99.25	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $72.45	Professional		$72.45	$72.45	$72.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $126.12 / $181.61	Professional		$88.28	$126.12	$181.61
United Facility/Professional Facility Modifier Low / Median / High Price $48.13 / $93.69 / $96.25	Facility		$48.13	$93.69	$96.25
United Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $65.08 / $99.76	Professional		$58.98	$65.08	$99.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $75.76 / $88.28	Professional		$75.76	$75.76	$88.28