Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $20.96 / $170.99	Facility		$20.96	$20.96	$170.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $20.96 / $20.96	Professional		$20.96	$20.96	$20.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $87.45 / $191.39	Professional		$22.35	$87.45	$191.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $47.22 / $101.18	Facility		$45.40	$47.22	$101.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $15.30 / $39.75	Professional		$0.15	$15.30	$39.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $56.79 / $56.79	Professional		$56.79	$56.79	$56.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $12.57 / $25.42	Professional		$11.73	$12.57	$25.42