Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $37.15	Professional		$23.99	$28.18	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $31.62	Professional		$25.12	$28.18	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $40.74 / $52.48	Professional		$35.48	$40.74	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $26.92	Facility		$14.79	$14.79	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.85 / $28.18	Professional		$14.79	$15.85	$28.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $28.18	Professional		$17.38	$28.18	$28.18