Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $13.49 / $15.49	Professional		$3.80	$13.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.99 / $123.03	Professional		$10.96	$23.99	$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 / $23.99	Facility		$11.48	$15.49	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $23.99	Professional		$10.72	$13.18	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.72 / $21.38	Professional		$8.32	$10.72	$21.38