Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.91 / $44.67	Professional		$12.02	$22.91	$44.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $25.12	Professional		$20.42	$20.42	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $23.99	Professional		$17.78	$17.78	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $54.95	Professional		$25.70	$37.15	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $21.38 / $27.54	Facility		$12.30	$21.38	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.20 / $28.84	Professional		$16.22	$18.20	$28.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.91 / $30.90	Professional		$22.39	$22.91	$30.90