Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $19.05	Professional		$12.02	$12.02	$19.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.49	Professional		$12.02	$12.02	$15.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $13.18	Professional		$10.23	$12.02	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $14.45	Professional		$12.02	$12.02	$14.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30