Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $109.65 / $309.03	Facility		$12.88	$109.65	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $79.43	Professional		$12.88	$14.13	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $199.53	Professional		$51.29	$91.20	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $30.20 / $67.61	Facility		$28.84	$30.20	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $26.92	Professional		$19.50	$21.38	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $36.31	Professional		$34.67	$34.67	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.96 / $38.90	Professional		$7.41	$10.96	$38.90