Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $29.99	Facility		$29.99	$29.99	$29.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $29.99 / $29.99	Professional		$29.99	$29.99	$29.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $50.09	Professional		$40.90	$40.90	$50.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $30.59	Professional		$30.59	$30.59	$30.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $47.63 / $145.44	Professional		$47.63	$47.63	$145.44
United Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $107.32 / $107.32	Facility		$107.32	$107.32	$107.32
United Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $36.56 / $54.93	Professional		$24.37	$36.56	$54.93