Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $93.35 / $113.70	Facility		$26.51	$93.35	$113.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $31.81	Professional		$26.51	$26.51	$31.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $29.92 / $30.00	Professional		$26.51	$29.92	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $26.51	Facility		$20.83	$20.83	$26.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $35.74	Professional		$26.51	$26.51	$35.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $26.51 / $77.42	Professional		$22.53	$26.51	$77.42
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $29.69 / $38.94	Professional		$26.51	$29.69	$38.94