Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $13.55 / $24.30	Professional		$11.92	$13.55	$24.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $14.45 / $19.64	Professional		$13.00	$14.45	$19.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $12.62 / $26.74	Facility		$9.57	$12.62	$26.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $20.65 / $33.96	Professional		$9.57	$20.65	$33.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $22.58 / $27.09	Professional		$18.05	$22.58	$27.09
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.84 / $16.43	Professional		$7.59	$10.84	$16.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $9.02 / $17.72	Professional		$7.04	$9.02	$17.72