Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $67.61	Professional		$20.89	$25.12	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $41.69	Professional		$28.84	$28.84	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $77.62 / $107.15	Professional		$35.48	$77.62	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $50.12	Professional		$17.78	$26.92	$50.12