Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $67.61	Professional		$28.18	$51.29	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $51.29 / $58.88	Professional		$10.47	$51.29	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $83.18	Facility		$33.88	$42.66	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $331.13	Professional		$20.89	$33.88	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $95.50	Professional		$64.57	$70.79	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $26.92 / $48.98	Facility		$5.25	$26.92	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $44.67	Professional		$16.98	$28.84	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $51.29 / $95.50	Professional		$25.12	$51.29	$95.50