Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $13.45 / $22.09	Professional		$11.77	$13.45	$22.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.14 / $17.25	Professional		$14.00	$14.14	$17.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $16.89	Facility		$16.89	$16.89	$16.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $16.89	Professional		$12.34	$12.34	$16.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $25.24 / $36.35	Professional		$17.67	$25.24	$36.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $14.23 / $19.97	Professional		$11.80	$14.23	$19.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $17.73	Professional		$15.28	$15.28	$17.73