Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $30.22 / $226.12	Facility		$26.18	$30.22	$226.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $36.89 / $76.95	Professional		$25.62	$36.89	$76.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $25.37 / $660.00	Professional		$24.01	$25.37	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $59.71 / $114.45	Professional		$29.35	$59.71	$114.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $98.52 / $98.52	Professional		$65.45	$98.52	$98.52
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $79.22 / $119.29	Professional		$30.64	$79.22	$119.29