Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $37.70 / $59.61	Professional		$31.21	$37.70	$59.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $52.12	Professional		$41.00	$41.00	$52.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $54.11	Facility		$54.11	$54.11	$54.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $54.11	Professional		$39.50	$39.50	$54.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $76.25 / $109.80	Professional		$53.38	$76.25	$109.80
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $38.04 / $60.63	Professional		$31.88	$38.04	$60.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $45.68 / $53.38	Professional		$10.54	$45.68	$53.38