Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $51.43 / $51.43	Professional		$51.43	$51.43	$51.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $29.08 / $35.68	Facility		$27.26	$29.08	$35.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $42.13 / $73.88	Professional		$28.71	$42.13	$73.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $64.29 / $77.15	Professional		$51.43	$64.29	$77.15
United Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Facility		$21.60	$21.60	$21.60
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $23.14 / $42.22	Professional		$17.69	$23.14	$42.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $25.72 / $42.13	Professional		$20.05	$25.72	$42.13