Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $91.98 / $173.96	Professional		$61.24	$91.98	$173.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $61.05 / $268.62	Professional		$59.90	$61.05	$268.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $115.95 / $268.57	Professional		$63.48	$115.95	$268.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $131.84 / $249.90	Professional		$101.87	$131.84	$249.90
United Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $135.28 / $258.56	Professional		$76.94	$135.28	$258.56