Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $15.00	Professional		$14.05	$14.05	$15.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $24.52 / $24.52	Professional		$24.52	$24.52	$24.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $10.75	Professional		$7.85	$7.85	$10.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $29.00 / $29.00	Professional		$26.00	$29.00	$29.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $65.38 / $400.00	Professional		$65.38	$65.38	$400.00