Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $97.72 / $112.20	Professional		$34.67	$97.72	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $83.18	Professional		$60.26	$67.61	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $645.65	Facility		$331.13	$331.13	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Professional		$123.03	$123.03	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $186.21	Professional		$109.65	$123.03	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $128.82	Facility		$36.31	$40.74	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $181.97	Professional		$74.13	$104.71	$181.97