Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $68.40 / $68.40	Facility		$68.40	$68.40	$68.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $68.40 / $165.52	Professional		$61.71	$68.40	$165.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $122.22 / $133.22	Professional		$117.74	$122.22	$133.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $85.57 / $162.11	Professional		$60.86	$85.57	$162.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $159.55 / $159.55	Professional		$75.88	$159.55	$159.55
United Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $72.11 / $208.58	Professional		$55.17	$72.11	$208.58