Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $28.13 / $39.57	Professional		$19.01	$28.13	$39.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $23.74 / $30.98	Professional		$23.74	$23.74	$30.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Facility		$29.14	$29.14	$29.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $29.85	Professional		$21.27	$21.27	$29.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $45.26 / $65.17	Professional		$31.68	$45.26	$65.17
United Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $26.10 / $33.53	Facility		$13.36	$26.10	$33.53
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $21.32 / $34.79	Professional		$18.48	$21.32	$34.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $27.58 / $31.68	Professional		$27.58	$27.58	$31.68