Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $100.06 / $107.00	Professional		$73.95	$100.06	$107.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $67.19 / $85.33	Professional		$67.19	$67.19	$85.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $641.21	Facility		$330.00	$330.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $122.43 / $146.69	Professional		$122.43	$122.43	$146.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $140.75 / $198.38	Professional		$108.81	$140.75	$198.38
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $102.63 / $176.67	Professional		$73.31	$102.63	$176.67