Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $36.97 / $1,065.56	Facility		$25.84	$36.97	$1,065.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $12.81	Professional		$10.68	$10.68	$12.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $9.73 / $11.66	Professional		$9.73	$9.73	$11.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $10.07 / $10.68	Facility		$10.07	$10.07	$10.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $13.19	Professional		$10.68	$10.68	$13.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $10.68 / $37.26	Professional		$9.08	$10.68	$37.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.89 / $15.72	Professional		$10.68	$11.89	$15.72