Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $19.44 / $30.73	Professional		$16.09	$19.44	$30.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $26.88	Professional		$21.00	$21.00	$26.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $29.97	Facility		$29.97	$29.97	$29.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $39.32 / $56.62	Professional		$27.52	$39.32	$56.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $19.61 / $31.27	Professional		$16.25	$19.61	$31.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.11 / $27.52	Professional		$22.11	$22.11	$27.52