Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $169.82 / $190.55	Facility		$75.86	$169.82	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $398.11	Professional		$75.86	$97.72	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $107.15	Professional		$81.28	$91.20	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $316.23	Professional		$79.43	$102.33	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $181.97	Professional		$83.18	$87.10	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $213.80	Professional		$67.61	$112.20	$213.80