Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $891.25 / $1,905.46	Facility		$537.03	$891.25	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $37.15	Professional		$19.95	$25.70	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $38.90	Professional		$23.99	$26.92	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $38.90	Facility		$22.91	$22.91	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.95 / $47.86	Professional		$12.30	$19.95	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $44.67	Professional		$22.91	$29.51	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $18.62	Facility		$14.13	$14.13	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.78 / $26.92	Professional		$10.23	$17.78	$26.92