Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $50.12 / $102.33	Professional		$22.91	$50.12	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $34.67	Professional		$25.70	$28.18	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $114.82	Professional		$28.18	$54.95	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $100.00	Professional		$47.86	$64.57	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $48.98 / $93.33	Professional		$26.30	$48.98	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $87.10	Professional		$48.98	$72.44	$87.10