Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $30.72 / $36.14	Professional		$28.91	$30.72	$36.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $28.91	Professional		$28.91	$28.91	$28.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.67 / $36.14	Professional		$17.78	$26.67	$36.14
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.40 / $36.14	Professional		$30.00	$33.40	$36.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $8.17 / $8.17	Professional		$8.17	$8.17	$8.17