Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $23.37 / $41.87	Professional		$19.85	$23.37	$41.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $32.58	Professional		$26.00	$26.00	$32.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $29.78	Facility		$29.78	$29.78	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $29.78	Professional		$21.74	$21.74	$29.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $47.66 / $68.63	Professional		$33.36	$47.66	$68.63
United Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $23.77 / $37.70	Professional		$21.47	$23.77	$37.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $33.36	Professional		$28.84	$28.84	$33.36