Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $79.43	Professional		$22.91	$25.70	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $30.20	Professional		$22.39	$24.55	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $61.66	Professional		$23.99	$34.67	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $46.77	Professional		$27.54	$32.36	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $50.12	Professional		$21.38	$30.90	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $40.74	Professional		$20.42	$36.31	$40.74