Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $91.20	Professional		$28.84	$36.31	$91.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $42.66	Professional		$28.18	$31.62	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $69.18	Professional		$21.38	$28.18	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $64.57	Professional		$38.90	$46.77	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $29.51	Facility		$16.60	$16.60	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $35.48	Professional		$16.60	$20.42	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $34.67	Professional		$19.50	$34.67	$34.67