Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Facility		$4.12	$4.12	$4.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $4.12	Professional		$3.50	$3.50	$4.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $8.00	Professional		$6.00	$6.00	$8.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $4.41 / $5.43	Professional		$0.34	$4.41	$5.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.50 / $4.50	Professional		$3.83	$4.50	$4.50