Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $40.74	Professional		$25.70	$28.84	$40.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $41.69	Professional		$32.36	$32.36	$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 $26.30 / $26.30 / $37.15	Professional		$26.30	$26.30	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $117.49	Professional		$39.81	$85.11	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $45.71	Professional		$19.95	$30.20	$45.71