Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $165.96 / $186.21	Facility		$67.61	$165.96	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $371.54	Professional		$64.57	$77.62	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $186.21 / $616.60	Professional		$63.10	$186.21	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $208.93	Professional		$70.79	$83.18	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $144.54	Professional		$79.43	$79.43	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $77.62 / $77.62	Facility		$58.88	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $199.53	Professional		$51.29	$89.13	$199.53