Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $183.04 / $449.02	Facility		$55.03	$183.04	$449.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $55.03 / $57.23	Professional		$55.03	$55.03	$57.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $66.03 / $163.29	Professional		$58.70	$66.03	$163.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.23 / $123.99 / $266.64	Facility		$119.23	$123.99	$266.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $164.89 / $571.64	Professional		$45.55	$164.89	$571.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $149.13 / $149.13	Professional		$84.38	$149.13	$149.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $132.56	Professional		$30.82	$44.02	$132.56