Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.95 / $83.30	Professional		$34.47	$34.95	$83.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $46.60 / $53.12	Professional		$41.94	$46.60	$53.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $33.82 / $134.31	Professional		$24.70	$33.82	$134.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $55.92 / $69.90	Professional		$46.60	$55.92	$69.90
United Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $23.55 / $41.94	Professional		$19.98	$23.55	$41.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $42.02 / $42.02	Professional		$23.30	$42.02	$42.02