Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.88 / $209.19 / $311.26	Facility		$88.88	$209.19	$311.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $38.15 / $38.15	Professional		$38.15	$38.15	$38.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $222.39 / $508.54	Professional		$40.69	$222.39	$508.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $85.96 / $184.51	Facility		$82.65	$85.96	$184.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $58.23 / $72.79	Professional		$27.92	$58.23	$72.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $103.38 / $103.38	Professional		$103.38	$103.38	$103.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $31.18 / $46.28	Professional		$29.84	$31.18	$46.28