Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $54.95 / $162.18	Facility		$19.95	$54.95	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $120.23	Professional		$19.95	$20.89	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $295.12	Professional		$75.86	$134.90	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $45.71 / $102.33	Facility		$43.65	$45.71	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $30.90 / $38.90	Professional		$14.79	$30.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $54.95	Professional		$52.48	$52.48	$54.95
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 $11.22 / $16.60 / $45.71	Professional		$11.22	$16.60	$45.71