Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $275.42	Facility		$33.11	$33.11	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $36.31	Professional		$28.18	$33.88	$36.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $204.17	Professional		$28.84	$47.86	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $75.86 / $169.82	Facility		$72.44	$75.86	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $141.25 / $346.74	Professional		$26.92	$141.25	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $91.20	Professional		$51.29	$77.62	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $56.23	Professional		$19.05	$20.42	$56.23