Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Facility		$43.00	$43.00	$43.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Professional		$43.00	$43.00	$43.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Professional		$44.88	$44.88	$44.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $68.28 / $208.53	Professional		$68.28	$68.28	$208.53
United Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $52.42 / $110.24	Professional		$34.94	$52.42	$110.24