Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.25 / $62.25 / $507.96	Facility		$62.25	$62.25	$507.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $62.25 / $64.73	Professional		$62.25	$62.25	$64.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $91.30 / $332.99	Professional		$83.00	$91.30	$332.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $140.27 / $301.16	Facility		$134.88	$140.27	$301.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $262.64 / $647.14	Professional		$50.10	$262.64	$647.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $168.71 / $168.71	Professional		$95.45	$168.71	$168.71
United Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $34.86 / $34.86	Facility		$34.86	$34.86	$34.86
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $49.80 / $158.16	Professional		$34.86	$49.80	$158.16