Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $40.74 / $316.23	Facility		$12.88	$40.74	$316.23
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 / $69.18	Facility		$28.84	$30.20	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $20.42 / $25.70	Professional		$9.77	$20.42	$25.70
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 $7.59 / $11.22 / $30.20	Professional		$7.59	$11.22	$30.20