Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $15.39 / $25.24	Professional		$10.88	$15.39	$25.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $18.94 / $30.60	Professional		$16.62	$18.94	$30.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $14.20 / $26.55	Facility		$10.88	$14.20	$26.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $21.80 / $33.52	Professional		$10.88	$21.80	$33.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $25.65 / $30.78	Professional		$20.52	$25.65	$30.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $12.05 / $15.60	Professional		$9.07	$12.05	$15.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.26 / $20.14	Professional		$8.00	$10.26	$20.14