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 $41.69 / $44.67 / $44.67	Professional		$41.69	$44.67	$44.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $3,548.13 / $3,801.89	Professional		$138.04	$3,548.13	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $134.90	Professional		$44.67	$83.18	$134.90