Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $75.86 / $128.82	Facility		$15.14	$75.86	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $19.05	Professional		$15.14	$15.85	$19.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $223.87	Professional		$60.26	$107.15	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $35.48 / $79.43	Facility		$33.88	$35.48	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.99 / $30.20	Professional		$11.48	$23.99	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $42.66	Professional		$40.74	$40.74	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $35.48	Professional		$8.71	$13.18	$35.48