Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $97.72	Professional		$67.61	$79.43	$97.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $93.33	Professional		$74.13	$83.18	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $60.26	Professional		$48.98	$48.98	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $138.04	Professional		$91.20	$104.71	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $69.18	Facility		$38.90	$38.90	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $83.18	Professional		$38.90	$47.86	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71