Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $52.48	Professional		$25.12	$32.36	$52.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $43.65	Professional		$33.11	$33.11	$43.65
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 $44.67 / $63.10 / $95.50	Professional		$44.67	$63.10	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.20 / $46.77	Facility		$20.42	$30.20	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $48.98	Professional		$27.54	$30.90	$48.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $52.48	Professional		$36.31	$36.31	$52.48