Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $81.81 / $81.81	Facility		$81.81	$81.81	$81.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $81.81 / $81.81	Professional		$75.52	$81.81	$81.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $96.36 / $216.00	Professional		$84.85	$96.36	$216.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.40 / $424.19 / $729.07	Facility		$247.40	$424.19	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $112.81 / $250.18	Professional		$69.45	$112.81	$250.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $202.05 / $202.05	Professional		$94.65	$202.05	$202.05
United Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $80.05 / $278.13	Professional		$54.88	$80.05	$278.13