Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $37.15	Professional		$15.85	$28.18	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $28.18 / $32.36	Professional		$3.98	$28.18	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $16.98 / $45.71	Facility		$8.71	$16.98	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $58.88	Professional		$12.02	$17.78	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $52.48	Professional		$35.48	$38.90	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.79 / $26.92	Facility		$9.77	$14.79	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.85 / $23.44	Professional		$7.76	$15.85	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $28.18 / $52.48	Professional		$13.80	$28.18	$52.48