Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $67.81 / $163.25	Professional		$64.92	$67.81	$163.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $73.48 / $87.47	Professional		$65.77	$73.48	$87.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $105.36 / $283.14	Professional		$60.59	$105.36	$283.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $83.53 / $158.84	Professional		$72.14	$83.53	$158.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $84.47 / $167.67	Professional		$57.44	$84.47	$167.67
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07