Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $34.67	Professional		$19.95	$23.99	$34.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.44 / $26.30	Professional		$20.89	$23.44	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $51.29	Professional		$15.14	$18.20	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $43.65	Professional		$29.51	$34.67	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $22.39	Facility		$12.30	$12.30	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $23.44	Professional		$10.00	$13.18	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.44 / $23.44	Professional		$14.45	$23.44	$23.44