Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $56.23	Professional		$25.12	$32.36	$56.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $43.65	Professional		$39.81	$39.81	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $95.50	Professional		$44.67	$64.57	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.18 / $43.65	Facility		$19.50	$28.18	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $50.12	Professional		$26.30	$31.62	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $53.70	Professional		$34.67	$34.67	$53.70