Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $69.18	Professional		$33.88	$47.86	$69.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $50.12	Professional		$37.15	$40.74	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $114.82	Professional		$28.18	$40.74	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $77.62	Professional		$51.29	$61.66	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $38.90	Facility		$21.38	$21.38	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $45.71	Professional		$21.38	$30.20	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $50.12 / $50.12	Professional		$25.70	$50.12	$50.12