Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Professional		$16.25	$16.25	$16.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $67.50 / $71.55	Facility		$67.50	$67.50	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $91.13	Professional		$71.55	$71.55	$91.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $60.82 / $71.80	Professional		$60.82	$60.82	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $115.97	Professional		$71.55	$71.55	$115.97