Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $39.95 / $55.25	Professional		$27.57	$39.95	$55.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $38.68 / $43.13	Professional		$38.68	$38.68	$43.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $46.83	Facility		$37.90	$37.90	$46.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $44.60	Professional		$32.22	$32.22	$44.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $63.10 / $90.86	Professional		$44.17	$63.10	$90.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $31.48 / $49.92	Professional		$22.68	$31.48	$49.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $40.26 / $44.17	Professional		$40.26	$40.26	$44.17