Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $85.11	Professional		$30.20	$53.70	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $23.99 / $27.54	Professional		$7.76	$23.99	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $15.49 / $38.90	Facility		$8.13	$15.49	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $43.65	Professional		$8.32	$12.88	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $44.67	Professional		$28.18	$31.62	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.59 / $22.91	Facility		$8.91	$12.59	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.49 / $20.42	Professional		$7.08	$13.49	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.99 / $44.67	Professional		$11.75	$23.99	$44.67