Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $35.61	Professional		$33.92	$33.92	$35.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $43.20	Professional		$33.92	$33.92	$43.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $33.92 / $47.23	Professional		$28.83	$33.92	$47.23
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $35.61	Professional		$33.92	$33.92	$35.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $44.44	Professional		$33.92	$33.92	$44.44