Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $314.75	Facility		$42.13	$42.13	$314.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $131.87 / $288.58	Professional		$51.43	$131.87	$288.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $163.53 / $186.89	Facility		$86.92	$163.53	$186.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $73.88	Professional		$59.10	$59.10	$73.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $104.54 / $104.54	Professional		$104.54	$104.54	$104.54
United Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Facility		$17.69	$17.69	$17.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $18.96 / $46.80	Professional		$17.69	$18.96	$46.80