Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $31.58 / $52.79	Professional		$27.64	$31.58	$52.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $40.50	Professional		$32.00	$32.00	$40.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $37.03	Facility		$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $37.03	Professional		$27.03	$27.03	$37.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $59.25 / $85.32	Professional		$41.48	$59.25	$85.32
United Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $31.04 / $46.88	Professional		$27.34	$31.04	$46.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $35.86 / $41.48	Professional		$35.86	$35.86	$41.48