Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $125.89 / $208.93	Facility		$25.12	$125.89	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $151.36	Professional		$25.12	$25.70	$151.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $380.19	Professional		$97.72	$169.82	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $57.54 / $128.82	Facility		$54.95	$57.54	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.90 / $48.98	Professional		$18.62	$38.90	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Professional		$66.07	$66.07	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $57.54	Professional		$14.13	$21.38	$57.54