Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $44.67 / $1,096.48	Facility		$14.13	$44.67	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $87.10	Professional		$14.13	$15.14	$87.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $218.78	Professional		$56.23	$100.00	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $33.11 / $74.13	Facility		$31.62	$33.11	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.39 / $28.18	Professional		$10.72	$22.39	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $39.81	Professional		$38.02	$38.02	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $33.11	Professional		$8.13	$12.30	$33.11