Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $20.85 / $20.85	Facility		$20.85	$20.85	$20.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $20.97	Professional		$19.97	$19.97	$20.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $23.49 / $23.49	Professional		$23.49	$23.49	$23.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $25.43	Professional		$19.97	$19.97	$25.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $19.97 / $33.09	Professional		$16.97	$19.97	$33.09
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $21.61	Professional		$19.97	$19.97	$21.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $26.16	Professional		$19.97	$19.97	$26.16