Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $12.88 / $15.14	Professional		$3.63	$12.88	$15.14
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 / $19.05	Facility		$11.48	$15.49	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $19.05	Professional		$9.12	$12.02	$19.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.57 / $9.12	Professional		$3.55	$4.57	$9.12