Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $21.88	Facility		$19.05	$19.05	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $57.54	Professional		$19.05	$23.99	$57.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.12 / $28.84	Professional		$22.91	$25.12	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $47.86	Professional		$18.20	$23.99	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $33.11	Professional		$18.62	$24.55	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $24.55 / $43.65	Facility		$17.78	$24.55	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $40.74	Professional		$18.62	$25.12	$40.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $42.66	Professional		$21.88	$33.88	$42.66