Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $109.65	Professional		$41.69	$48.98	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $46.77 / $52.48	Professional		$25.12	$46.77	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $102.33	Professional		$30.20	$36.31	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $87.10	Professional		$58.88	$67.61	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $44.67	Facility		$24.55	$24.55	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $47.86	Professional		$16.60	$26.30	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $46.77	Professional		$29.51	$46.77	$46.77