Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $42.66 / $58.88	Professional		$19.05	$42.66	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $61.66	Professional		$50.12	$56.23	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $181.97	Facility		$72.44	$72.44	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $47.86 / $89.13	Professional		$25.70	$47.86	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $87.10	Professional		$54.95	$66.07	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $64.57	Professional		$21.88	$47.86	$64.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $74.13 / $100.00	Professional		$22.91	$74.13	$100.00