Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $229.09 / $446.68	Facility		$66.07	$229.09	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $28.18 / $102.33	Professional		$10.00	$28.18	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $416.87	Professional		$109.65	$194.98	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $63.10 / $144.54	Facility		$61.66	$63.10	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $53.70	Professional		$20.42	$43.65	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $75.86	Professional		$72.44	$72.44	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $64.57	Professional		$15.85	$23.99	$64.57