Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $25.12	Professional		$12.88	$15.14	$25.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $27.54	Professional		$19.95	$19.95	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $50.12	Professional		$24.55	$31.62	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.38 / $21.88	Facility		$12.30	$17.38	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $36.31	Professional		$15.85	$21.38	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $38.90	Professional		$27.54	$38.90	$38.90