Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $67.61 / $251.19	Facility		$58.88	$67.61	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $194.98	Professional		$52.48	$104.71	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $97.72	Professional		$77.62	$81.28	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $158.49	Professional		$56.23	$77.62	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $154.88	Professional		$75.86	$144.54	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $165.96	Professional		$56.23	$91.20	$165.96