Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $115.32 / $140.44	Facility		$36.69	$115.32	$140.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $37.49	Professional		$36.69	$36.69	$37.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.96 / $43.24	Professional		$36.70	$36.96	$43.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $36.69	Facility		$34.61	$34.61	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $46.73	Professional		$36.69	$36.69	$46.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $36.69 / $50.52	Professional		$31.19	$36.69	$50.52
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $40.84 / $54.01	Professional		$36.69	$40.84	$54.01