Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $64.57	Professional		$40.74	$48.98	$64.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $70.79	Professional		$56.23	$61.66	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $70.79 / $89.13	Professional		$33.11	$70.79	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $93.33	Professional		$58.88	$64.57	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $29.51 / $46.77	Facility		$26.30	$29.51	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $56.23	Professional		$26.30	$29.51	$56.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $93.33	Professional		$25.12	$32.36	$93.33