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 $65.54 / $99.37 / $185.03	Professional		$65.54	$99.37	$185.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $65.28 / $287.95	Professional		$63.40	$65.28	$287.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $123.63 / $279.85	Professional		$68.67	$123.63	$279.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $138.13 / $261.06	Professional		$106.73	$138.13	$261.06
United Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $114.62 / $270.10	Professional		$83.40	$114.62	$270.10