Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $28.84 / $35.48	Facility		$27.54	$28.84	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $74.13	Professional		$28.84	$41.69	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $77.62	Professional		$48.98	$53.70	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $24.55 / $42.66	Facility		$17.78	$24.55	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $44.67	Professional		$17.78	$21.38	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $41.69 / $77.62	Professional		$19.95	$41.69	$77.62