Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $114.00	Professional		$114.00	$114.00	$114.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Professional		$139.72	$139.72	$139.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $326.00 / $396.00	Professional		$289.00	$326.00	$396.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $218.00 / $218.00	Professional		$218.00	$218.00	$218.00