Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $79.43	Professional		$30.90	$69.18	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $128.82	Professional		$60.26	$89.13	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $85.11 / $85.11	Facility		$41.69	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $138.04	Professional		$38.90	$58.88	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $41.69	Professional		$16.60	$16.60	$41.69