Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $38.20 / $62.30	Professional		$27.43	$38.20	$62.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $43.66 / $53.26	Professional		$42.00	$43.66	$53.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $32.81 / $44.94	Professional		$32.81	$32.81	$44.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $77.92 / $112.20	Professional		$54.54	$77.92	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $40.21 / $61.63	Professional		$30.59	$40.21	$61.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $37.10 / $54.54	Professional		$37.10	$37.10	$54.54