Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.12 / $49.33	Professional		$23.88	$24.12	$49.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $29.60 / $29.60	Professional		$23.88	$29.60	$29.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.82 / $60.82 / $85.00	Facility		$60.82	$60.82	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $30.41	Professional		$23.88	$23.88	$30.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $23.88 / $72.43	Professional		$20.30	$23.88	$72.43
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $26.58 / $28.99	Professional		$23.88	$26.58	$28.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $60.82 / $60.82	Professional		$27.46	$60.82	$60.82