Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $151.36	Professional		$30.20	$61.66	$151.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $44.67 / $44.67	Facility		$40.74	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $107.15	Professional		$50.12	$70.79	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.84 / $48.98	Facility		$21.38	$28.84	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $54.95	Professional		$30.90	$34.67	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $58.88	Professional		$30.90	$30.90	$58.88