Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $51.41 / $419.53	Facility		$51.41	$51.41	$419.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $51.41 / $53.47	Professional		$51.41	$51.41	$53.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $61.70 / $287.72	Professional		$54.84	$61.70	$287.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.40 / $115.86 / $248.79	Facility		$111.40	$115.86	$248.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $153.90 / $533.89	Professional		$35.76	$153.90	$533.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $139.34 / $139.34	Professional		$78.83	$139.34	$139.34
United Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $62.38 / $94.68	Professional		$26.80	$62.38	$94.68