Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Facility		$5.73	$5.73	$5.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $8.53	Professional		$5.73	$5.73	$8.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $85.00	Facility		$5.73	$5.73	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.76	Professional		$5.73	$5.73	$6.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $5.73 / $7.50	Professional		$4.87	$5.73	$7.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.38 / $6.84	Professional		$5.73	$6.38	$6.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.74	Professional		$5.73	$5.73	$7.74