Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $77.62	Professional		$30.90	$40.74	$77.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $53.70	Professional		$41.69	$41.69	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $117.49	Professional		$54.95	$79.43	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $37.15 / $58.88	Facility		$25.70	$37.15	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $61.66	Professional		$34.67	$38.90	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $66.07	Professional		$34.67	$45.71	$66.07