Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $7.65	Professional		$7.65	$7.65	$7.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $34.00 / $35.00	Professional		$31.00	$34.00	$35.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $26.86	Professional		$26.86	$26.86	$26.86