Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $85.11	Professional		$77.62	$77.62	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Professional		$77.62	$77.62	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $194.98	Professional		$125.89	$151.36	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $125.89	Professional		$77.62	$83.18	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $204.17	Professional		$151.36	$173.78	$204.17