Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Facility		$29.92	$29.92	$29.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $38.29	Professional		$26.51	$26.51	$38.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $29.92 / $29.92	Professional		$26.51	$29.92	$29.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $73.12	Facility		$36.78	$36.78	$73.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $28.12	Professional		$26.51	$26.51	$28.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $26.51 / $77.42	Professional		$22.53	$26.51	$77.42
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $29.69 / $37.06	Professional		$26.51	$29.69	$37.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $36.78 / $40.39	Professional		$30.49	$36.78	$40.39