Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $41.69	Professional		$25.12	$30.20	$41.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $26.92 / $33.11	Professional		$12.59	$26.92	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.44 / $43.65	Facility		$17.78	$23.44	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $36.31 / $117.49	Professional		$17.78	$36.31	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $51.29	Professional		$33.88	$37.15	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.13 / $25.70	Facility		$13.80	$14.13	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $30.90	Professional		$15.14	$20.42	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $33.11 / $51.29	Professional		$13.18	$33.11	$51.29