Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $32.50 / $39.31	Professional		$27.10	$32.50	$39.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $40.28 / $81.06	Professional		$36.61	$40.28	$81.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $26.13 / $105.93	Professional		$19.41	$26.13	$105.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $43.94 / $54.93	Professional		$36.61	$43.94	$54.93
United Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $15.38 / $15.38	Facility		$15.38	$15.38	$15.38
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $16.48 / $32.22	Professional		$15.38	$16.48	$32.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $29.11 / $29.11	Professional		$18.30	$29.11	$29.11