Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $55.75 / $454.90	Facility		$55.75	$55.75	$454.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $55.75 / $57.98	Professional		$55.75	$55.75	$57.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $81.76 / $663.98	Professional		$74.33	$81.76	$663.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.78 / $125.61 / $270.20	Facility		$120.78	$125.61	$270.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $167.25 / $579.73	Professional		$54.01	$167.25	$579.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $151.09 / $151.09	Professional		$85.48	$151.09	$151.09
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $44.60 / $157.81	Professional		$31.22	$44.60	$157.81