Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $45.93 / $55.94	Facility		$4.19	$45.93	$55.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $5.03	Professional		$4.19	$4.19	$5.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $14.71 / $14.71	Professional		$4.19	$14.71	$14.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $3.95 / $4.19	Facility		$3.95	$3.95	$4.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $17.29	Professional		$4.19	$4.19	$17.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $4.19 / $105.43	Professional		$3.56	$4.19	$105.43
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.69 / $6.17	Professional		$4.19	$4.69	$6.17