Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $169.82	Professional		$30.20	$34.67	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Professional		$39.81	$39.81	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $50.12	Professional		$33.88	$33.88	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $102.33 / $141.25	Professional		$46.77	$102.33	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $53.70	Professional		$23.44	$35.48	$53.70