Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $58.88	Professional		$26.92	$33.88	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.20 / $37.15	Professional		$26.30	$30.20	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.70 / $72.44	Facility		$19.50	$25.70	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $42.66 / $190.55	Professional		$19.50	$42.66	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $70.79	Professional		$36.31	$39.81	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.38 / $41.69	Facility		$15.49	$17.38	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.55 / $47.86	Professional		$16.60	$24.55	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $35.48 / $54.95	Professional		$14.13	$35.48	$54.95