Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $36.31	Professional		$15.85	$19.50	$36.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $33.11	Professional		$21.38	$23.44	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $38.90	Professional		$17.78	$24.55	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $33.11	Professional		$19.50	$25.12	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $38.02	Professional		$16.98	$23.44	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $34.67	Professional		$23.99	$29.51	$34.67