Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $19.05 / $21.88	Professional		$6.17	$19.05	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $123.03	Professional		$10.96	$16.60	$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 / $22.91	Facility		$11.48	$15.49	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $22.91	Professional		$10.00	$12.30	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.31 / $12.59	Professional		$4.90	$6.31	$12.59