Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $50.12	Professional		$20.89	$34.67	$50.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $39.81	Professional		$32.36	$32.36	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $33.11	Professional		$23.44	$23.44	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $87.10	Professional		$40.74	$57.54	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.88 / $37.15	Facility		$16.22	$21.88	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $44.67	Professional		$23.44	$28.18	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $48.98	Professional		$28.84	$28.84	$48.98