Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $58.88	Professional		$37.15	$43.65	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $85.11	Facility		$43.65	$43.65	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $85.11	Professional		$37.15	$37.15	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $83.18	Professional		$43.65	$60.26	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $38.02 / $74.13	Facility		$4.37	$38.02	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $109.65	Professional		$39.81	$56.23	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $52.48	Professional		$51.29	$51.29	$52.48