Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $57.54	Professional		$15.85	$19.95	$57.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.38 / $21.88	Professional		$15.85	$17.38	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $39.81	Professional		$12.02	$15.85	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $38.90	Professional		$21.88	$26.30	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $16.60	Facility		$9.12	$9.12	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $19.95	Professional		$9.12	$12.30	$19.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $19.50	Professional		$10.96	$19.50	$19.50