Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $115.60 / $140.79	Facility		$36.67	$115.60	$140.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $44.00	Professional		$36.67	$36.67	$44.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.04 / $44.39	Professional		$36.67	$37.04	$44.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $34.59 / $36.67	Facility		$34.59	$34.59	$36.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $46.98	Professional		$36.67	$36.67	$46.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $36.67 / $128.54	Professional		$31.17	$36.67	$128.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $40.82 / $53.98	Professional		$36.67	$40.82	$53.98