Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $25.70	Professional		$16.98	$19.95	$25.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $22.39	Professional		$18.20	$19.95	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $14.79	Professional		$13.18	$13.18	$14.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $37.15	Professional		$25.12	$28.84	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $19.05	Facility		$10.47	$10.47	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.22 / $20.42	Professional		$10.47	$11.22	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59