Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $17.12 / $27.61	Professional		$15.27	$17.12	$27.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $23.13 / $33.22	Professional		$20.63	$23.13	$33.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $15.48 / $29.93	Facility		$12.26	$15.48	$29.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $26.64 / $66.31	Professional		$17.20	$26.64	$66.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $28.91 / $34.70	Professional		$23.13	$28.91	$34.70
United Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Facility		$9.71	$9.71	$9.71
United Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $13.71 / $17.57	Professional		$10.41	$13.71	$17.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.57 / $21.95	Professional		$9.02	$11.57	$21.95