Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $24.39 / $24.39	Professional		$22.95	$24.39	$24.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.09 / $13.09	Professional		$13.09	$13.09	$13.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $26.94 / $29.93	Professional		$23.94	$26.94	$29.93
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $30.12	Professional		$28.69	$28.69	$30.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $16.91	Professional		$16.91	$16.91	$16.91