Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $158.49 / $251.19	Facility		$75.86	$158.49	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $181.97	Professional		$70.79	$91.20	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $229.09	Professional		$95.50	$109.65	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $107.15	Professional		$69.18	$81.28	$107.15