Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $100.75 / $122.70	Facility		$26.71	$100.75	$122.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $32.04	Professional		$26.71	$26.71	$32.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.29 / $38.68	Professional		$26.71	$32.29	$38.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $26.71	Facility		$25.20	$25.20	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $34.02	Professional		$26.71	$26.71	$34.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $26.71 / $65.48	Professional		$22.70	$26.71	$65.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $29.73 / $39.32	Professional		$26.71	$29.73	$39.32