Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $22.91	Professional		$12.02	$12.88	$22.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Professional		$16.22	$16.22	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $44.67	Professional		$20.89	$30.20	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.79 / $21.38	Facility		$9.33	$14.79	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $22.39	Professional		$12.02	$14.45	$22.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $25.12	Professional		$17.78	$25.12	$25.12