Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $100.00	Professional		$28.84	$47.86	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $42.66	Professional		$31.62	$34.67	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $645.65	Facility		$50.12	$50.12	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $107.15	Professional		$31.62	$54.95	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $100.00	Professional		$57.54	$66.07	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $40.74 / $51.29	Facility		$29.51	$40.74	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $91.20	Professional		$29.51	$51.29	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $89.13	Professional		$51.29	$66.07	$89.13