Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $28.16 / $37.17	Professional		$21.65	$28.16	$37.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.47 / $35.99	Professional		$34.47	$34.47	$35.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $22.19 / $26.88	Professional		$22.19	$22.19	$26.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $47.66 / $57.20	Professional		$37.07	$47.66	$57.20
United Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $18.32 / $32.70	Facility		$2.38	$18.32	$32.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $29.44 / $46.76	Professional		$21.70	$29.44	$46.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $44.29	Professional		$39.50	$39.50	$44.29