Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $18.20	Professional		$10.96	$15.14	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
United Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.06 / $0.06	Professional		$0.04	$0.06	$0.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10