Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $25.70	Professional		$20.89	$21.88	$25.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $42.66	Facility		$23.44	$23.44	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $48.98	Professional		$28.84	$41.69	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $24.55	Facility		$22.91	$22.91	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $26.30	Professional		$21.88	$24.55	$26.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44