Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $16.87 / $16.87	Facility		$16.87	$16.87	$16.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $16.87 / $16.87	Professional		$16.87	$16.87	$16.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $30.16 / $30.16	Professional		$30.16	$30.16	$30.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $32.52 / $32.52	Professional		$32.52	$32.52	$32.52
United Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $17.50 / $28.36	Professional		$15.93	$17.50	$28.36