Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $123.03	Professional		$28.18	$36.31	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $48.98	Professional		$27.54	$30.90	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $79.43	Professional		$27.54	$41.69	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $51.29	Professional		$26.92	$32.36	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $57.54	Professional		$27.54	$36.31	$57.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $44.67	Professional		$27.54	$32.36	$44.67