Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $45.25 / $45.25	Professional		$42.59	$45.25	$45.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.02 / $11.02	Professional		$11.02	$11.02	$11.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,780.25 / $3,780.25 / $4,200.28	Professional		$3,780.25	$3,780.25	$4,200.28
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $46.80	Professional		$44.36	$44.36	$46.80