Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $36.31	Professional		$23.99	$26.92	$36.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $41.69	Professional		$36.31	$36.31	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $38.90	Professional		$26.92	$26.92	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $87.10 / $117.49	Professional		$39.81	$87.10	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $56.23	Professional		$19.95	$30.20	$56.23