Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $30.79 / $49.91	Professional		$24.07	$30.79	$49.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $32.38 / $39.49	Professional		$31.00	$32.38	$39.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $37.36	Professional		$27.27	$27.27	$37.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $57.77 / $83.19	Professional		$40.44	$57.77	$83.19
United Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $29.81 / $45.70	Professional		$26.02	$29.81	$45.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $34.96 / $40.44	Professional		$34.96	$34.96	$40.44