Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $49.65	Professional		$42.13	$42.13	$49.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $29.00 / $29.29	Facility		$27.26	$29.00	$29.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $42.13 / $73.88	Professional		$28.71	$42.13	$73.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $64.29 / $77.15	Professional		$51.43	$64.29	$77.15
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $21.60 / $41.65	Professional		$17.69	$21.60	$41.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $7.50 / $42.13	Professional		$5.85	$7.50	$42.13