Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $23.99	Professional		$10.96	$13.18	$23.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.05	Professional		$14.13	$14.13	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $15.49	Professional		$11.22	$11.22	$15.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $41.69	Professional		$19.05	$27.54	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.02 / $18.62	Facility		$8.32	$12.02	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $21.38	Professional		$11.22	$13.49	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $22.91	Professional		$14.79	$14.79	$22.91