Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $40.74	Professional		$10.00	$12.02	$40.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $17.38	Professional		$12.88	$14.45	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $36.31	Professional		$11.22	$17.38	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $20.42	Professional		$10.96	$12.30	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $23.99	Professional		$10.72	$14.79	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $16.22	Professional		$9.55	$14.13	$16.22