Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $15.15 / $24.69	Professional		$13.26	$15.15	$24.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $17.30 / $21.11	Professional		$17.25	$17.30	$21.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $25.14	Facility		$25.14	$25.14	$25.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $25.14	Professional		$21.37	$21.37	$25.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $30.88 / $44.47	Professional		$21.62	$30.88	$44.47
United Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $16.18 / $24.44	Professional		$13.92	$16.18	$24.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $19.96 / $21.62	Professional		$17.12	$19.96	$21.62