Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $26.32 / $41.97	Professional		$18.60	$26.32	$41.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $35.09 / $50.56	Professional		$31.58	$35.09	$50.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $27.67 / $86.11	Professional		$19.30	$27.67	$86.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $66.95	Professional		$35.09	$42.11	$66.95
United Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $14.74 / $14.74	Facility		$14.74	$14.74	$14.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $31.93	Professional		$14.74	$21.05	$31.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $34.45 / $34.45	Professional		$17.55	$34.45	$34.45