Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $112.20	Professional		$74.13	$87.10	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $95.50	Professional		$77.62	$85.11	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $162.18	Professional		$107.15	$123.03	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $81.28	Facility		$44.67	$44.67	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $47.86 / $87.10	Professional		$44.67	$47.86	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70