Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $52.48	Professional		$23.99	$30.20	$52.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $41.69	Professional		$36.31	$36.31	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $91.20	Professional		$42.66	$61.66	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.92 / $40.74	Facility		$18.62	$26.92	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $47.86	Professional		$24.55	$30.20	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $51.29	Professional		$33.11	$33.11	$51.29