Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $11.22 / $12.88	Professional		$3.16	$11.22	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $123.03	Professional		$10.96	$16.98	$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 / $18.20	Facility		$11.48	$15.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $17.78	Professional		$7.94	$12.02	$17.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.50 / $10.96	Professional		$4.27	$5.50	$10.96