Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Professional		$67.00	$67.00	$67.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $76.25 / $91.50	Professional		$61.00	$76.25	$91.50
United Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $59.22 / $59.22	Facility		$59.22	$59.22	$59.22
United Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $35.53 / $59.22	Professional		$35.53	$35.53	$59.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $72.00 / $72.00	Professional		$51.85	$72.00	$72.00