Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $29.18 / $29.33	Facility		$28.75	$29.18	$29.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $42.28 / $60.71	Professional		$28.71	$42.28	$60.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $52.85 / $63.42	Professional		$42.28	$52.85	$63.42
United Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $22.98 / $38.47	Professional		$17.76	$22.98	$38.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $21.14 / $42.28	Professional		$16.48	$21.14	$42.28