Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $49.01 / $49.01	Facility		$49.01	$49.01	$49.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $54.99	Professional		$49.01	$49.01	$54.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $22.44 / $39.22	Professional		$14.66	$22.44	$39.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $19.53 / $68.88	Professional		$16.30	$19.53	$68.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $100.17 / $100.17	Professional		$41.62	$100.17	$100.17
United Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $75.65 / $165.12	Professional		$45.29	$75.65	$165.12