Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $33.88	Professional		$10.00	$18.20	$33.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $26.92	Professional		$10.00	$12.02	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.89 / $38.02	Professional		$12.02	$20.89	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $27.54 / $38.90	Professional		$14.45	$27.54	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.30 / $20.89	Facility		$9.12	$12.30	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.50 / $36.31	Professional		$11.22	$19.50	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $39.81	Professional		$26.92	$34.67	$39.81