Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $95.50	Professional		$33.88	$40.74	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $43.65	Professional		$34.67	$38.90	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $85.11	Professional		$25.12	$30.20	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $72.44	Professional		$47.86	$57.54	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $36.31	Facility		$20.42	$20.42	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $38.90	Professional		$19.95	$21.88	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $38.02	Professional		$23.99	$38.02	$38.02