Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $95.50 / $234.42	Facility		$28.18	$95.50	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.84 / $30.90	Professional		$12.88	$28.84	$30.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $147.91	Professional		$39.81	$69.18	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $64.57 / $147.91	Facility		$63.10	$64.57	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $44.67 / $54.95	Professional		$21.38	$44.67	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $17.38 / $30.90	Professional		$8.13	$17.38	$30.90