Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $165.96	Facility		$19.95	$19.95	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $20.89	Professional		$16.98	$19.95	$20.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $186.21	Professional		$50.12	$89.13	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $45.71 / $104.71	Facility		$43.65	$45.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $31.62 / $38.90	Professional		$14.79	$31.62	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $30.90	Professional		$10.23	$14.79	$30.90