Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $281.49 / $379.32	Facility		$99.97	$281.49	$379.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $154.65 / $261.51	Professional		$99.82	$154.65	$261.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $94.31 / $99.97	Facility		$94.31	$94.31	$99.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $84.97 / $99.97	Professional		$84.97	$84.97	$99.97
United Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $99.97 / $162.03	Professional		$90.97	$99.97	$162.03