Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $72.44	Professional		$15.14	$19.95	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $24.55	Professional		$18.20	$18.20	$24.55
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 $15.85 / $18.62 / $29.51	Professional		$15.85	$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