Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $169.82 / $204.17	Facility		$25.12	$169.82	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $112.20	Professional		$22.91	$25.70	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $263.03	Professional		$23.99	$35.48	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $128.82	Facility		$54.95	$56.23	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $141.25	Professional		$19.95	$20.89	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $67.61	Professional		$38.90	$58.88	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $63.10	Professional		$19.95	$21.88	$63.10