Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $61.00	Professional		$48.00	$48.00	$61.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $60.00 / $81.73	Facility		$45.00	$60.00	$81.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $70.00	Professional		$45.00	$60.00	$70.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $92.00 / $154.00	Professional		$50.00	$92.00	$154.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $55.00 / $90.00	Professional		$40.00	$55.00	$90.00