Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $39.81	Professional		$16.98	$28.18	$39.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $31.62	Professional		$23.99	$23.99	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Professional		$21.38	$21.38	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $69.18	Professional		$32.36	$45.71	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.30 / $33.88	Facility		$13.49	$26.30	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.38 / $34.67	Professional		$19.05	$21.38	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $38.90	Professional		$27.54	$27.54	$38.90