Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $61.66	Professional		$22.91	$33.11	$61.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $87.10	Professional		$53.70	$63.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $61.66	Facility		$37.15	$37.15	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $46.77	Professional		$25.70	$30.20	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $51.29	Professional		$50.12	$50.12	$51.29