Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $178.00 / $371.21	Facility		$52.22	$178.00	$371.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $52.22 / $62.09	Professional		$50.53	$52.22	$62.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $644.79	Professional		$66.81	$66.81	$644.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.95 / $306.06 / $3,091.75	Facility		$184.95	$306.06	$3,091.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $141.02 / $262.99	Professional		$49.75	$141.02	$262.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $127.67 / $127.67	Professional		$59.08	$127.67	$127.67
United Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $116.82 / $161.78	Professional		$54.77	$116.82	$161.78