Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $19.97 / $27.61	Professional		$13.73	$19.97	$27.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $21.39	Professional		$17.82	$17.82	$21.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $18.95	Facility		$18.95	$18.95	$18.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $22.29	Professional		$16.11	$16.11	$22.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $31.29 / $45.40	Professional		$21.90	$31.29	$45.40
United Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $15.73 / $24.95	Professional		$11.34	$15.73	$24.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $16.82 / $22.07	Professional		$16.82	$16.82	$22.07