Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $39.81	Professional		$23.99	$30.20	$39.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $39.81	Professional		$35.48	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $57.54	Facility		$38.02	$38.02	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $44.67	Professional		$32.36	$32.36	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $63.10	Professional		$41.69	$54.95	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $19.50 / $37.15	Facility		$2.29	$19.50	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $50.12	Professional		$25.12	$32.36	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98