Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $23.40 / $36.92	Professional		$19.80	$23.40	$36.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $24.71 / $31.56	Professional		$24.71	$24.71	$31.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $30.59	Facility		$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.33 / $30.59	Professional		$22.33	$22.33	$30.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $46.16 / $66.47	Professional		$32.31	$46.16	$66.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $23.78 / $36.52	Professional		$21.12	$23.78	$36.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $27.98 / $32.31	Professional		$27.98	$27.98	$32.31