Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $15.14 / $17.78	Professional		$4.90	$15.14	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $123.03	Professional		$10.96	$19.50	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.51 / $38.90	Professional		$25.70	$29.51	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.49 / $22.39	Facility		$11.48	$15.49	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $22.39	Professional		$10.00	$12.30	$22.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.59 / $15.14	Professional		$5.89	$7.59	$15.14