Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $436.52	Facility		$81.28	$173.78	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $34.67 / $125.89	Professional		$12.88	$34.67	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $524.81	Professional		$134.90	$239.88	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $177.83	Facility		$75.86	$79.43	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $53.70 / $67.61	Professional		$25.70	$53.70	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $95.50	Professional		$91.20	$91.20	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $79.43	Professional		$19.95	$29.51	$79.43