Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $93.33 / $380.19	Facility		$83.18	$93.33	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $239.88	Professional		$77.62	$123.03	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $251.19	Professional		$107.15	$229.09	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $229.09	Professional		$85.11	$112.20	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $223.87	Professional		$107.15	$218.78	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $234.42	Professional		$85.11	$138.04	$234.42