Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $95.50	Professional		$12.88	$20.89	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $112.20	Professional		$19.50	$21.88	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $30.20 / $107.15	Professional		$14.45	$30.20	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $95.50	Professional		$19.50	$23.99	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $38.02 / $69.18	Facility		$13.49	$38.02	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.30 / $93.33	Professional		$13.80	$26.30	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $28.84	Professional		$14.79	$23.44	$28.84