Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $63.10 / $77.62	Professional		$7.08	$63.10	$77.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $77.62	Professional		$60.26	$67.61	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $58.88 / $107.15	Facility		$54.95	$58.88	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Professional		$95.50	$95.50	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $125.89	Professional		$79.43	$87.10	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $39.81 / $83.18	Facility		$35.48	$39.81	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $81.28	Professional		$35.48	$39.81	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $125.89	Professional		$32.36	$41.69	$125.89