Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $107.15	Professional		$54.95	$77.62	$107.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $93.33 / $194.98	Professional		$16.22	$93.33	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $575.44	Facility		$316.23	$512.86	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $213.80	Professional		$51.29	$83.18	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $204.17	Professional		$87.10	$95.50	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $977.24	Facility		$724.44	$851.14	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $257.04	Professional		$50.12	$100.00	$257.04