Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $16.22 / $18.62	Professional		$4.47	$16.22	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $123.03	Professional		$9.12	$10.96	$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 $3.02 / $3.89 / $7.76	Professional		$3.02	$3.89	$7.76