Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $41.69	Professional		$23.99	$30.90	$41.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $60.26	Facility		$38.90	$38.90	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $46.77	Professional		$33.11	$33.11	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $66.07	Professional		$42.66	$56.23	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $20.42 / $38.02	Facility		$2.34	$20.42	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $51.29	Professional		$25.70	$33.11	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $50.12	Professional		$43.65	$43.65	$50.12