Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $22.00	Professional		$20.00	$20.00	$22.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $117.89 / $117.89	Professional		$117.89	$117.89	$117.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $75.00 / $77.00	Professional		$67.00	$75.00	$77.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $57.50 / $57.50	Professional		$26.35	$57.50	$57.50