Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $54.95	Professional		$33.88	$40.74	$54.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $37.15 / $42.66	Professional		$15.85	$37.15	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $31.62 / $60.26	Facility		$24.55	$31.62	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $43.65 / $151.36	Professional		$24.55	$43.65	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $89.13	Professional		$45.71	$50.12	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $21.88 / $34.67	Facility		$19.50	$21.88	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $41.69	Professional		$20.89	$27.54	$41.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $45.71 / $69.18	Professional		$17.78	$45.71	$69.18