Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $47.86 / $109.65	Facility		$12.88	$47.86	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $57.54	Professional		$12.88	$14.13	$57.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $66.07 / $144.54	Professional		$37.15	$66.07	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $30.90 / $69.18	Facility		$29.51	$30.90	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $25.70	Professional		$10.00	$20.89	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $37.15	Professional		$31.62	$31.62	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $22.39	Professional		$10.96	$12.59	$22.39