Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $35.48	Professional		$10.00	$15.85	$35.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $17.38	Professional		$12.02	$13.49	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.05 / $34.67	Professional		$11.75	$19.05	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $30.20	Professional		$13.18	$17.78	$30.20
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 $12.02 / $17.78 / $30.90	Professional		$12.02	$17.78	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $23.44	Professional		$15.49	$20.89	$23.44