Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $16.60 / $19.05	Professional		$5.25	$16.60	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.50	Professional		$15.85	$15.85	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $144.54	Professional		$87.10	$144.54	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.75 / $11.48	Professional		$4.47	$5.75	$11.48