Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $83.18	Professional		$28.84	$42.66	$83.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $50.12	Professional		$38.02	$38.02	$50.12
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 $38.90 / $38.90 / $52.48	Professional		$38.90	$38.90	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $109.65	Professional		$51.29	$72.44	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $35.48 / $53.70	Facility		$23.99	$35.48	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $57.54	Professional		$32.36	$35.48	$57.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $60.26	Professional		$42.66	$42.66	$60.26