Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $72.44	Professional		$36.31	$41.69	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $56.23	Professional		$42.66	$42.66	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $51.29	Professional		$38.02	$38.02	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $123.03	Professional		$57.54	$81.28	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $60.26 / $61.66	Facility		$52.48	$60.26	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $63.10	Professional		$36.31	$41.69	$63.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $67.61	Professional		$47.86	$47.86	$67.61