Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Facility		$38.76	$38.76	$38.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $38.76 / $45.60	Professional		$36.47	$38.76	$45.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $40.28 / $40.28	Professional		$40.28	$40.28	$40.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $40.28	Facility		$38.76	$38.76	$40.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $86.00 / $100.00	Professional		$28.90	$86.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $42.30 / $45.35	Professional		$38.00	$42.30	$45.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $40.28 / $40.28	Professional		$40.28	$40.28	$40.28