Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $30.20 / $39.81	Professional		$12.88	$30.20	$39.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $30.90 / $35.48	Professional		$4.90	$30.90	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $17.38 / $50.12	Facility		$9.33	$17.38	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $199.53	Professional		$9.33	$17.38	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $57.54	Professional		$38.90	$42.66	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.22 / $29.51	Facility		$10.23	$16.22	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $17.38 / $25.70	Professional		$8.13	$17.38	$25.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.90 / $57.54	Professional		$15.14	$30.90	$57.54