Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $19.95	Professional		$10.00	$16.98	$19.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $30.90	Professional		$14.13	$21.38	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.42 / $20.42	Facility		$16.22	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.78 / $35.48	Professional		$10.47	$17.78	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78