Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $69.18	Professional		$20.89	$25.70	$69.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $28.18	Professional		$21.38	$25.12	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $54.95	Professional		$14.79	$19.05	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $46.77	Professional		$30.90	$37.15	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $23.99	Facility		$13.18	$13.18	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $25.12	Professional		$11.75	$14.13	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $24.55 / $24.55	Professional		$15.49	$24.55	$24.55