Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $70.79	Professional		$41.69	$45.71	$70.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $74.13	Professional		$57.54	$57.54	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $87.10	Professional		$58.88	$58.88	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $213.80	Professional		$70.79	$154.88	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $100.00	Professional		$35.48	$53.70	$100.00