Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $186.21 / $223.87	Facility		$58.88	$186.21	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $194.98	Professional		$58.88	$58.88	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $218.78	Professional		$70.79	$104.71	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $58.88 / $58.88	Facility		$56.23	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $58.88	Professional		$50.12	$50.12	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $95.50	Professional		$58.88	$58.88	$95.50