Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $12.59	Professional		$5.01	$5.01	$12.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $6.92	Professional		$5.37	$5.37	$6.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.37 / $12.59	Professional		$4.57	$5.37	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $6.46	Professional		$5.37	$5.37	$6.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76