Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $58.88	Professional		$37.15	$43.65	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $70.79	Professional		$43.65	$43.65	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $162.18	Professional		$81.28	$93.33	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $70.79	Professional		$28.18	$42.66	$70.79