Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $36.27	Professional		$36.27	$36.27	$36.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $32.74	Professional		$23.90	$23.90	$32.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $86.00 / $88.00	Professional		$78.00	$86.00	$88.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $32.50 / $32.50	Professional		$23.80	$32.50	$32.50