Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.02 / $38.90	Facility		$21.88	$38.02	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $38.90	Professional		$20.89	$21.88	$38.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $22.91	Professional		$18.62	$21.88	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $23.99	Professional		$19.95	$22.91	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88