Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $29.51	Facility		$28.84	$28.84	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $60.26	Professional		$28.84	$42.66	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $63.10	Professional		$39.81	$44.67	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.95 / $42.66	Facility		$17.78	$19.95	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $40.74	Professional		$17.78	$19.05	$40.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $42.66 / $63.10	Professional		$16.60	$42.66	$63.10