Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $14.72 / $26.32	Professional		$11.99	$14.72	$26.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $19.52	Professional		$17.50	$17.50	$19.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $24.64	Facility		$18.77	$18.77	$24.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $15.95 / $22.57	Professional		$15.95	$15.95	$22.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $25.84 / $31.01	Professional		$20.10	$25.84	$31.01
United Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $14.31 / $23.46	Professional		$11.91	$14.31	$23.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $19.39 / $24.40	Professional		$19.39	$19.39	$24.40