Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $30.90	Professional		$19.05	$21.88	$30.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $20.42 / $23.44	Professional		$8.71	$20.42	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.38 / $33.11	Facility		$13.49	$17.38	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $87.10	Professional		$13.49	$19.05	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $48.98	Professional		$25.70	$28.18	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.02 / $19.50	Facility		$10.72	$12.02	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $23.44	Professional		$11.48	$15.14	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $24.55 / $38.02	Professional		$10.00	$24.55	$38.02