Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $107.15	Professional		$30.90	$38.90	$107.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $37.15	Professional		$25.12	$33.88	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $83.18	Professional		$22.91	$33.11	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $63.10	Professional		$41.69	$50.12	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $31.62	Facility		$17.38	$17.38	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $37.15	Professional		$16.60	$18.62	$37.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $40.74	Professional		$20.89	$40.74	$40.74