Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $229.09	Professional		$87.10	$107.15	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $165.96	Professional		$112.20	$134.90	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $316.23	Professional		$95.50	$123.03	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $204.17	Professional		$91.20	$95.50	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $239.88	Professional		$83.18	$107.15	$239.88