Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $34.67	Professional		$20.89	$26.92	$34.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $51.29	Facility		$33.11	$33.11	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $43.65	Professional		$28.18	$28.18	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $56.23	Professional		$36.31	$48.98	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $18.20 / $31.62	Facility		$2.14	$18.20	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $44.67	Professional		$22.91	$29.51	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $42.66	Professional		$36.31	$36.31	$42.66