Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $39.81	Professional		$22.91	$26.92	$39.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $26.92 / $30.90	Professional		$9.12	$26.92	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.44 / $43.65	Facility		$17.38	$23.44	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $87.10	Professional		$16.98	$26.30	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $51.29	Professional		$33.88	$37.15	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.22 / $26.30	Facility		$14.13	$16.22	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $30.90	Professional		$13.18	$16.22	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.92 / $51.29	Professional		$13.18	$26.92	$51.29