Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $52.48	Professional		$22.91	$30.20	$52.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $33.11	Professional		$24.55	$24.55	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $89.13	Professional		$41.69	$58.88	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.30 / $39.81	Facility		$18.20	$26.30	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $46.77	Professional		$23.99	$28.84	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $50.12	Professional		$31.62	$31.62	$50.12