Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $44.40 / $45.00	Professional		$39.60	$44.40	$45.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $37.79 / $47.88	Professional		$16.43	$37.79	$47.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $21.53 / $77.64	Facility		$11.20	$21.53	$77.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $21.37 / $73.48	Professional		$11.51	$21.37	$73.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $72.00 / $90.00	Professional		$57.00	$72.00	$90.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $27.00 / $36.72	Professional		$9.96	$27.00	$36.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $30.00 / $47.70	Professional		$23.40	$30.00	$47.70