Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $58.88	Professional		$28.18	$41.69	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $37.15	Professional		$28.84	$32.36	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $89.13	Professional		$30.20	$51.29	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.71 / $66.07	Professional		$20.89	$45.71	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $53.70 / $75.86	Facility		$32.36	$53.70	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $81.28	Professional		$26.92	$45.71	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $89.13	Professional		$57.54	$77.62	$89.13