Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $33.11	Professional		$19.95	$25.12	$33.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.12 / $28.84	Professional		$22.91	$25.12	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $45.71	Professional		$36.31	$36.31	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $47.86	Professional		$30.20	$33.11	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.14 / $31.62	Facility		$13.18	$15.14	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.79 / $30.90	Professional		$13.18	$14.79	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.90 / $47.86	Professional		$3.80	$4.90	$47.86