Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $27.45 / $49.11	Professional		$25.71	$27.45	$49.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $42.94	Professional		$40.11	$40.11	$42.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Facility		$38.36	$38.36	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $38.36	Professional		$28.00	$28.00	$38.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $62.81 / $90.45	Professional		$43.97	$62.81	$90.45
United Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $31.34 / $49.95	Professional		$25.93	$31.34	$49.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $34.44 / $43.97	Professional		$34.44	$34.44	$43.97