Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $50.12	Professional		$25.12	$30.20	$50.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $40.74	Professional		$30.90	$30.90	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $37.15	Professional		$27.54	$27.54	$37.15
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 $38.02 / $43.65 / $44.67	Facility		$38.02	$43.65	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $45.71	Professional		$26.30	$29.51	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $48.98	Professional		$34.67	$34.67	$48.98