Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $18.59 / $28.13	Facility		$18.59	$18.59	$28.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $22.54	Professional		$18.59	$18.59	$22.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $23.68	Professional		$18.59	$18.59	$23.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $31.35	Professional		$18.59	$18.59	$31.35
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $30.13	Professional		$18.59	$18.59	$30.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $18.68 / $18.68	Professional		$18.68	$18.68	$18.68