Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.91 / $85.11	Professional		$14.45	$22.91	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $20.89	Professional		$15.85	$17.78	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $42.66	Professional		$15.49	$23.44	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $57.54	Professional		$22.91	$30.20	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $43.65	Professional		$15.85	$25.12	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.54 / $41.69	Professional		$15.85	$27.54	$41.69