Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $134.90 / $398.11	Facility		$48.98	$134.90	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $229.09	Professional		$48.98	$52.48	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $512.86	Professional		$52.48	$77.62	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $109.65 / $251.19	Facility		$107.15	$109.65	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $147.91 / $512.86	Professional		$39.81	$147.91	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $131.83	Professional		$75.86	$125.89	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $112.20	Professional		$27.54	$37.15	$112.20