Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $28.18	Professional		$15.85	$20.89	$28.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $38.02	Facility		$25.70	$25.70	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $33.88	Professional		$21.88	$21.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $41.69	Professional		$27.54	$37.15	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $13.80 / $25.12	Facility		$1.78	$13.80	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $36.31	Professional		$17.78	$22.91	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $31.62	Professional		$30.90	$31.62	$31.62