Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $61.66 / $83.18	Professional		$21.88	$61.66	$83.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $69.18	Professional		$54.95	$60.26	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $50.12 / $97.72	Facility		$14.45	$50.12	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $45.71 / $109.65	Professional		$15.85	$45.71	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $112.20	Professional		$75.86	$87.10	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $31.62 / $57.54	Facility		$10.47	$31.62	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $33.88 / $47.86	Professional		$12.59	$33.88	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $60.26 / $112.20	Professional		$29.51	$60.26	$112.20