Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $181.97 / $446.68	Facility		$54.95	$181.97	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $870.96	Professional		$54.95	$57.54	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $288.40	Professional		$40.74	$77.62	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $123.03 / $281.84	Facility		$120.23	$123.03	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $165.96 / $575.44	Professional		$44.67	$165.96	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $147.91	Professional		$85.11	$128.82	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $104.71	Professional		$30.90	$34.67	$104.71