Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $22.59	Professional		$19.48	$19.48	$22.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $20.28 / $20.28	Professional		$20.28	$20.28	$20.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $24.81	Professional		$19.48	$19.48	$24.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $19.48 / $24.98	Professional		$15.58	$19.48	$24.98
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $20.65	Professional		$19.48	$19.48	$20.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $25.52	Professional		$19.48	$19.48	$25.52