Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $69.18	Professional		$37.15	$44.67	$69.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $64.57	Professional		$48.98	$48.98	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $64.57	Professional		$43.65	$43.65	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $181.97	Professional		$60.26	$131.83	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $69.18	Professional		$30.20	$46.77	$69.18