Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $33.11	Professional		$19.95	$25.12	$33.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $28.84	Professional		$22.39	$25.12	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.42 / $40.74	Facility		$16.60	$20.42	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $36.31 / $44.67	Professional		$16.60	$36.31	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $46.77	Professional		$29.51	$33.11	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.79 / $23.99	Facility		$13.18	$14.79	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.79 / $28.18	Professional		$13.18	$14.79	$28.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.12 / $46.77	Professional		$12.30	$25.12	$46.77