Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $96.22 / $129.66	Facility		$43.41	$96.22	$129.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $73.00 / $123.43	Professional		$34.11	$73.00	$123.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $40.95 / $43.41	Facility		$40.95	$40.95	$43.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $43.41	Professional		$36.90	$36.90	$43.41
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41