Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $30.90	Professional		$20.89	$23.99	$30.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $26.30	Professional		$21.38	$23.44	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.05	Professional		$15.85	$15.85	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $44.67	Professional		$29.51	$33.88	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $22.39	Facility		$12.30	$12.30	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $26.30	Professional		$12.30	$14.79	$26.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79