Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $91.20	Professional		$61.66	$70.79	$91.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $104.71	Professional		$83.18	$91.20	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $60.26 / $112.20	Facility		$56.23	$60.26	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $165.96	Professional		$45.71	$56.23	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $169.82	Professional		$109.65	$120.23	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $87.10	Facility		$36.31	$40.74	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $93.33	Professional		$38.90	$42.66	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $169.82	Professional		$33.11	$42.66	$169.82