Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $127.55 / $147.90	Facility		$25.92	$127.55	$147.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $25.92 / $25.92	Professional		$17.17	$25.92	$25.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $52.03 / $107.60	Professional		$30.07	$52.03	$107.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.43 / $99.99	Facility		$1.38	$1.43	$99.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $18.64 / $129.06	Professional		$12.23	$18.64	$129.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $64.44 / $66.65	Professional		$24.29	$64.44	$66.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $15.54 / $30.33	Professional		$9.61	$15.54	$30.33