Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $22.91 / $54.95	Professional		$10.00	$22.91	$54.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.95 / $19.95 / $36.31	Professional	25	$19.95	$19.95	$36.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $33.88	Professional		$27.54	$32.36	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.92 / $34.67	Professional		$23.44	$26.92	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $39.81	Professional		$15.14	$20.89	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.92 / $36.31	Professional		$23.44	$26.92	$36.31