Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $40.74 / $102.33	Facility		$12.02	$40.74	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $51.29	Professional		$10.00	$12.88	$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 $27.54 / $28.18 / $63.10	Facility		$27.54	$28.18	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.50 / $23.99	Professional		$9.12	$19.50	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $33.88	Professional		$29.51	$29.51	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $18.62	Professional		$6.76	$9.55	$18.62