Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $28.93 / $29.22	Facility		$22.33	$28.93	$29.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $42.13 / $60.50	Professional		$21.20	$42.13	$60.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $52.66 / $63.20	Professional		$42.13	$52.66	$63.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $20.01 / $40.86	Professional		$17.69	$20.01	$40.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $21.07 / $42.13	Professional		$16.43	$21.07	$42.13