Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $83.18	Professional		$32.36	$38.02	$83.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $52.48	Professional		$38.02	$42.66	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $190.55	Professional		$25.70	$33.88	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $70.79	Professional		$46.77	$54.95	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $36.31	Facility		$19.95	$19.95	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $38.02	Professional		$19.95	$21.38	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $37.15	Professional		$23.44	$37.15	$37.15