Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $43.30 / $43.30	Facility		$43.30	$43.30	$43.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $43.30 / $50.94	Professional		$40.75	$43.30	$50.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $40.52 / $40.52	Professional		$40.52	$40.52	$40.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $43.30	Facility		$28.87	$28.87	$43.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $43.94 / $64.75	Professional		$34.51	$43.94	$64.75
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $45.12 / $49.20	Professional		$40.53	$45.12	$49.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $40.53	Professional		$40.53	$40.53	$40.53