Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $42.66	Professional		$19.05	$23.99	$42.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $33.88	Professional		$25.12	$25.12	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $33.88	Professional		$24.55	$24.55	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $72.44	Professional		$33.88	$48.98	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $33.11	Facility		$14.79	$21.38	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $38.02	Professional		$19.95	$23.99	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $40.74	Professional		$26.30	$26.30	$40.74