Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $58.88	Professional		$34.67	$39.81	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $60.26	Professional		$45.71	$45.71	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $57.54	Professional		$39.81	$39.81	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $169.82	Professional		$57.54	$123.03	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $81.28	Professional		$28.84	$42.66	$81.28