Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $89.13 / $107.15	Facility		$28.18	$89.13	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $33.11	Professional		$28.18	$28.18	$33.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $44.67	Professional		$28.18	$28.18	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.84 / $28.84	Facility		$26.92	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $36.31	Professional		$28.84	$28.84	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $37.15	Professional		$23.99	$28.84	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $35.48	Facility		$28.84	$28.84	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $35.48	Professional		$28.84	$31.62	$35.48