Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $56.23	Professional		$33.88	$39.81	$56.23
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 $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $52.48	Professional		$35.48	$35.48	$52.48
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 $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $66.07	Professional		$28.84	$42.66	$66.07