Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $58.88 / $109.65	Facility		$12.88	$58.88	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $19.95	Professional		$12.88	$14.13	$19.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $177.83	Professional		$45.71	$81.28	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $30.20 / $69.18	Facility		$29.51	$30.20	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $23.44	Professional		$18.62	$18.62	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $26.92	Professional		$7.59	$10.72	$26.92