Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $77.73 / $252.22	Professional		$54.80	$77.73	$252.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $99.44	Professional		$88.00	$88.00	$99.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $94.93 / $132.18	Professional		$88.36	$94.93	$132.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $104.27 / $164.84	Professional		$89.69	$104.27	$164.84
United Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $42.48 / $85.91	Professional		$39.53	$42.48	$85.91