Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $173.78	Facility		$19.05	$19.05	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $35.48 / $67.61	Professional		$19.50	$35.48	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $104.71	Professional		$23.99	$28.18	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $87.10	Professional		$22.39	$38.90	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $45.71	Professional		$19.95	$22.39	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $50.12	Professional		$18.62	$28.18	$50.12