Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Professional		$31.00	$31.00	$31.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $9.24 / $16.44	Professional		$9.24	$9.24	$16.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $12.00	Professional		$9.00	$9.00	$12.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00