Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $18.91 / $29.06	Professional		$16.64	$18.91	$29.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $20.17 / $24.48	Professional		$15.16	$20.17	$24.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $16.57 / $32.61	Facility		$13.36	$16.57	$32.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $25.01 / $38.31	Professional		$13.36	$25.01	$38.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $31.51 / $37.82	Professional		$25.21	$31.51	$37.82
United Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Facility		$10.59	$10.59	$10.59
United Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $13.66 / $19.88	Professional		$9.23	$13.66	$19.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $12.61 / $23.10	Professional		$9.83	$12.61	$23.10