Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $81.28	Professional		$40.74	$47.86	$81.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $63.10	Professional		$47.86	$47.86	$63.10
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 $64.57 / $91.20 / $138.04	Professional		$64.57	$91.20	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $67.61 / $69.18	Facility		$56.23	$67.61	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $70.79	Professional		$40.74	$46.77	$70.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86