Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $37.15	Professional		$23.99	$28.84	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $53.70	Facility		$33.11	$33.11	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.90	Professional		$28.18	$28.18	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $56.23	Professional		$36.31	$50.12	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $20.42 / $36.31	Facility		$2.40	$20.42	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $51.29	Professional		$25.12	$33.88	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $40.74	Professional		$38.90	$40.74	$40.74