Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $53.04 / $277.99	Facility		$53.04	$53.04	$277.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $15.38	Professional		$15.38	$15.38	$15.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $62.07 / $73.02	Professional		$46.15	$62.07	$73.02
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $103.81	Professional		$64.05	$64.05	$103.81