Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $112.20	Professional		$32.36	$38.90	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $35.48 / $40.74	Professional		$15.49	$35.48	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.20 / $57.54	Facility		$23.44	$30.20	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $169.82	Professional		$23.44	$39.81	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $85.11	Professional		$43.65	$47.86	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $20.89 / $33.11	Facility		$18.62	$20.89	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $39.81	Professional		$19.95	$26.30	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $43.65 / $66.07	Professional		$16.98	$43.65	$66.07