Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $44.67 / $53.70	Facility		$14.13	$44.67	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.60	Professional		$14.13	$14.13	$16.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $21.88	Professional		$14.13	$14.13	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $14.13	Facility		$13.49	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.60	Professional		$14.13	$14.13	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $15.49	Professional		$12.02	$14.13	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $15.49	Facility		$14.13	$14.13	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $16.22	Professional		$14.13	$15.14	$16.22