Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $113.87 / $153.44	Facility		$39.45	$113.87	$153.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $99.30 / $167.90	Professional		$39.44	$99.30	$167.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $37.21 / $39.45	Facility		$37.21	$37.21	$39.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $33.53 / $39.45	Professional		$33.53	$33.53	$39.45
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $39.45 / $63.94	Professional		$35.90	$39.45	$63.94