Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.08 / $402.05 / $864.49	Facility		$59.08	$402.05	$864.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $59.08 / $59.08	Professional		$59.08	$59.08	$59.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $124.10 / $283.80	Professional		$55.14	$124.10	$283.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $133.12 / $286.88	Facility		$128.00	$133.12	$286.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $90.86 / $113.58	Professional		$43.21	$90.86	$113.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.12 / $160.12 / $160.12	Professional		$160.12	$160.12	$160.12
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $33.08 / $71.68	Professional		$16.64	$33.08	$71.68