Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $88.20 / $351.49	Facility		$49.24	$88.20	$351.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $27.94	Professional		$20.35	$20.35	$27.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $28.27 / $33.86	Professional		$20.35	$28.27	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $20.35	Facility		$19.20	$19.20	$20.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $27.63	Professional		$20.35	$20.35	$27.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $20.35 / $193.53	Professional		$17.30	$20.35	$193.53
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $22.79 / $29.96	Professional		$20.35	$22.79	$29.96