Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.89	Professional		$1.00	$1.00	$3.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Professional		$1.41	$1.41	$1.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.82	Professional		$1.41	$1.41	$1.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.41 / $1.70	Professional		$1.20	$1.41	$1.70
United Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.45 / $3.89	Facility		$1.41	$1.45	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.70	Professional		$1.41	$1.41	$1.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.62	Professional		$1.45	$1.45	$1.62