Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $27.54	Professional		$15.85	$19.95	$27.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $28.84	Professional		$10.96	$18.20	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.49 / $28.84	Facility		$12.02	$15.49	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.38 / $79.43	Professional		$12.02	$17.38	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $43.65	Professional		$22.39	$24.55	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.72 / $42.66	Facility		$9.55	$10.72	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.49 / $30.90	Professional		$10.23	$13.49	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $21.88 / $33.88	Professional		$8.71	$21.88	$33.88