Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $29.91 / $53.50	Professional		$28.01	$29.91	$53.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $46.80	Professional		$37.00	$37.00	$46.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $42.77	Facility		$42.77	$42.77	$42.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $42.77	Professional		$31.22	$31.22	$42.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $68.45 / $98.57	Professional		$47.92	$68.45	$98.57
United Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $33.85 / $39.84	Facility		$23.15	$33.85	$39.84
United Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $34.15 / $54.44	Professional		$29.72	$34.15	$54.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $41.01 / $47.92	Professional		$41.01	$41.01	$47.92