Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $79.43	Professional		$37.15	$53.70	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $69.18	Professional		$61.66	$61.66	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $151.36	Professional		$70.79	$102.33	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $42.66 / $69.18	Facility		$30.90	$42.66	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $79.43	Professional		$44.67	$50.12	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $70.79	Professional		$54.95	$54.95	$70.79