Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $40.74 / $97.72	Facility		$12.02	$40.74	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $51.29	Professional		$10.00	$12.02	$51.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $134.90	Professional		$31.62	$56.23	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.92 / $61.66	Facility		$25.70	$26.92	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.20 / $22.91	Professional		$8.71	$18.20	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $32.36	Professional		$28.18	$28.18	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $18.62	Professional		$6.76	$9.55	$18.62