Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $123.31 / $149.38	Facility		$43.08	$123.31	$149.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $9.23	Professional		$9.23	$9.23	$9.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $52.71 / $120.56	Professional		$9.85	$52.71	$120.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.80 / $45.23	Facility		$20.00	$20.80	$45.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $14.04 / $17.55	Professional		$6.69	$14.04	$17.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $25.02 / $25.02	Professional		$25.02	$25.02	$25.02
United Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $14.77 / $14.77	Facility		$14.77	$14.77	$14.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $12.66 / $17.11	Professional		$7.39	$12.66	$17.11