Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $15.94 / $64.08	Professional		$12.42	$15.94	$64.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $22.19 / $23.30	Professional		$19.97	$22.19	$23.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $35.61 / $108.10	Professional		$14.70	$35.61	$108.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $21.22 / $29.72	Professional		$17.82	$21.22	$29.72
United Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $22.74 / $35.25	Professional		$16.92	$22.74	$35.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $22.78 / $28.52	Professional		$16.01	$22.78	$28.52