Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $20.00	Professional		$10.58	$10.58	$20.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $55.24 / $75.13	Professional		$49.72	$55.24	$75.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $23.75	Professional		$19.00	$19.00	$23.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $233.00 / $233.00	Professional		$124.00	$233.00	$233.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00