Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $89.29 / $108.76	Facility		$27.99	$89.29	$108.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $31.09	Professional		$27.99	$27.99	$31.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.62 / $28.62	Professional		$27.99	$28.62	$28.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $22.33 / $27.99	Facility		$22.33	$22.33	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $30.14	Professional		$27.99	$27.99	$30.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $27.99 / $87.20	Professional		$23.79	$27.99	$87.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $31.16 / $41.11	Professional		$27.99	$31.16	$41.11