Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $27.31 / $27.31	Facility		$27.31	$27.31	$27.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $33.90	Professional		$26.62	$26.62	$33.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $30.69	Professional		$26.62	$26.62	$30.69
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $28.22	Professional		$26.62	$26.62	$28.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62