Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $20.91 / $37.44	Professional		$19.60	$20.91	$37.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $25.15 / $32.72	Professional		$25.15	$25.15	$32.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Facility		$27.38	$27.38	$27.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Professional		$19.98	$19.98	$19.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $47.87 / $68.93	Professional		$33.51	$47.87	$68.93
United Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $23.89 / $38.07	Professional		$18.52	$23.89	$38.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $26.27 / $33.51	Professional		$26.27	$26.27	$33.51