Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $109.65	Professional		$32.36	$39.81	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $38.90	Professional		$30.90	$34.67	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $85.11	Professional		$23.44	$33.88	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $64.57	Professional		$42.66	$51.29	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $32.36	Facility		$17.78	$17.78	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $38.02	Professional		$16.60	$19.50	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $41.69 / $41.69	Professional		$21.38	$41.69	$41.69