Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $19.61 / $35.09	Professional		$18.37	$19.61	$35.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $23.58 / $30.68	Professional		$23.58	$23.58	$30.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $27.10	Professional		$19.78	$19.78	$27.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $44.88 / $64.63	Professional		$31.42	$44.88	$64.63
United Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $22.39 / $35.70	Professional		$18.52	$22.39	$35.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $24.60 / $31.42	Professional		$24.60	$24.60	$31.42