Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $86.77 / $116.93	Facility		$25.46	$86.77	$116.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $52.49 / $88.75	Professional		$25.46	$52.49	$88.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $25.46	Facility		$24.02	$24.02	$25.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $25.46	Professional		$21.64	$21.64	$25.46
United Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.46 / $33.06	Professional		$25.21	$25.46	$33.06