Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $33.11	Professional		$15.14	$19.05	$33.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $26.30	Professional		$22.91	$22.91	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Professional		$15.49	$15.49	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $57.54	Professional		$26.92	$38.02	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.60 / $25.70	Facility		$11.48	$16.60	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $29.51	Professional		$15.49	$18.62	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $31.62	Professional		$20.42	$20.42	$31.62