Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $112.20	Professional		$25.12	$38.02	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $57.54	Professional		$50.12	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $52.48	Professional		$44.67	$44.67	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $85.11	Professional		$37.15	$53.70	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $53.70	Facility		$29.51	$41.69	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $72.44	Professional		$39.81	$45.71	$72.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $53.70	Professional		$31.62	$50.12	$53.70