Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $105.69	Facility		$12.95	$12.95	$105.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Professional		$12.95	$12.95	$12.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Professional		$13.82	$13.82	$13.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $29.20 / $63.09	Facility		$28.08	$29.20	$63.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $24.78	Professional		$19.82	$19.82	$24.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $35.10 / $35.10	Professional		$35.10	$35.10	$35.10
United Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.77 / $15.72	Professional		$7.25	$7.77	$15.72