Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $69.18 / $165.96	Facility		$19.95	$69.18	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $85.11	Professional		$19.05	$20.89	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $199.53	Professional		$19.50	$28.84	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $45.71 / $102.33	Facility		$43.65	$45.71	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $112.20	Professional		$15.49	$16.22	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $54.95	Professional		$30.90	$46.77	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $47.86	Professional		$16.22	$17.38	$47.86