Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $40.74 / $131.83	Facility		$15.85	$40.74	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $51.29	Professional		$10.00	$15.85	$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 $35.48 / $37.15 / $83.18	Facility		$35.48	$37.15	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $24.55 / $30.90	Professional		$11.75	$24.55	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.77 / $19.95	Professional		$6.76	$9.77	$19.95