Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $30.20	Professional		$14.79	$21.88	$30.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $47.86	Professional		$21.38	$21.38	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $57.54	Professional		$38.02	$40.74	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $15.49 / $19.95	Facility		$2.14	$15.49	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $33.11	Professional		$16.60	$19.95	$33.11