Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $130.18 / $538.03	Facility		$46.85	$130.18	$538.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Professional		$19.36	$19.36	$19.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $112.93 / $258.25	Professional		$20.65	$112.93	$258.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.95 / $43.63 / $94.04	Facility		$41.95	$43.63	$94.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $29.74 / $37.17	Professional		$14.15	$29.74	$37.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $52.46 / $52.46	Professional		$52.46	$52.46	$52.46
United Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $16.35 / $56.00	Professional		$15.15	$16.35	$56.00