Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Professional		$32.00	$32.00	$32.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $86.00 / $104.00	Professional		$76.00	$86.00	$104.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $19.93	Professional		$5.56	$5.56	$19.93