Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $51.29	Professional		$15.14	$19.05	$51.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $21.38	Professional		$14.45	$16.22	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $39.81	Professional		$10.96	$15.85	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $38.02	Professional		$19.95	$23.99	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $15.14	Facility		$8.51	$8.51	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $18.20	Professional		$8.51	$12.02	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50