Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $9.60 / $15.74	Professional		$6.78	$9.60	$15.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $11.81 / $19.04	Professional		$10.37	$11.81	$19.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $8.86 / $16.55	Facility		$6.78	$8.86	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $13.61 / $20.90	Professional		$6.78	$13.61	$20.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.00 / $19.20	Professional		$12.80	$16.00	$19.20
United Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $5.38 / $5.38	Facility		$5.38	$5.38	$5.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $7.68 / $11.55	Professional		$5.76	$7.68	$11.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $6.40 / $12.56	Professional		$4.99	$6.40	$12.56