Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $85.11	Professional		$38.90	$48.98	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $67.61	Professional		$50.12	$50.12	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $66.07	Professional		$48.98	$48.98	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $147.91	Professional		$67.61	$97.72	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $42.66 / $66.07	Facility		$29.51	$42.66	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $75.86	Professional		$39.81	$47.86	$75.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $81.28	Professional		$52.48	$52.48	$81.28