Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Facility		$36.00	$36.00	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $36.90 / $45.13	Professional		$20.70	$36.90	$45.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $24.00 / $32.64	Professional		$21.60	$24.00	$32.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $15.49 / $38.82	Facility		$8.06	$15.49	$38.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.64 / $42.10	Professional		$8.32	$13.64	$42.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $36.00 / $45.00	Professional		$28.50	$36.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $14.10 / $19.04	Professional		$7.17	$14.10	$19.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $15.00 / $23.85	Professional		$11.70	$15.00	$23.85