Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $94.99 / $175.86	Professional		$69.09	$94.99	$175.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $57.35 / $72.83	Professional		$57.35	$57.35	$72.83
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 $114.48 / $114.48 / $137.16	Professional		$114.48	$114.48	$137.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $125.56 / $180.57	Professional		$97.04	$125.56	$180.57
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 $66.72 / $92.64 / $160.80	Professional		$66.72	$92.64	$160.80