Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $66.31 / $66.31	Facility		$66.31	$66.31	$66.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $68.19 / $107.24	Professional		$64.78	$68.19	$107.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $93.04 / $153.52	Professional		$93.04	$93.04	$153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,158.00 / $1,158.00 / $1,158.00	Facility		$1,158.00	$1,158.00	$1,158.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $84.72 / $293.49	Professional		$66.17	$84.72	$293.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $74.44 / $155.69	Professional		$63.27	$74.44	$155.69
United Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $840.00 / $900.00	Facility		$840.00	$840.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $66.12 / $187.32	Professional		$54.40	$66.12	$187.32