Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $53.70	Professional		$18.20	$33.88	$53.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $38.02	Professional		$30.20	$30.20	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $36.31	Professional		$26.30	$26.30	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $83.18	Professional		$38.90	$54.95	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $32.36 / $41.69	Facility		$18.20	$32.36	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $42.66	Professional		$24.55	$26.92	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $45.71	Professional		$33.11	$34.67	$45.71