Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $28.84 / $48.99	Professional		$22.63	$28.84	$48.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $44.26 / $44.26	Professional		$44.26	$44.26	$44.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $41.50	Facility		$31.00	$31.00	$41.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $26.35 / $37.68	Professional		$26.35	$26.35	$37.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $41.26 / $55.98	Professional		$30.40	$41.26	$55.98
United Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $32.75 / $57.75	Professional		$25.11	$32.75	$57.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $37.34 / $37.54	Professional		$36.92	$37.34	$37.54