Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $74.13	Professional		$19.05	$23.99	$74.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.89 / $30.20	Professional		$18.62	$20.89	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $52.48	Professional		$14.45	$20.42	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $50.12	Professional		$26.30	$31.62	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $19.95	Facility		$10.96	$10.96	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $23.44	Professional		$10.96	$15.49	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.70 / $25.70	Professional		$13.18	$25.70	$25.70