Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $49.10 / $280.00	Facility		$49.10	$49.10	$280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $118.82	Professional		$49.10	$49.10	$118.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $62.26 / $176.74	Professional		$57.66	$62.26	$176.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $66.95 / $128.16	Professional		$48.37	$66.95	$128.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $111.62 / $111.62	Professional		$51.05	$111.62	$111.62
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 $46.90 / $80.06 / $126.37	Professional		$46.90	$80.06	$126.37