Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $67.15 / $80.83	Professional		$67.15	$67.15	$80.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $40.18 / $40.18	Professional		$26.80	$40.18	$40.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $26.11 / $30.72	Professional		$26.11	$26.11	$30.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $521.00	Professional		$432.00	$432.00	$521.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Professional		$17.71	$17.71	$17.71