Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $177.83 / $7,413.10	Facility		$57.54	$177.83	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $60.26	Professional		$57.54	$57.54	$60.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $181.97	Professional		$75.86	$87.10	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $57.54	Facility		$53.70	$57.54	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $57.54	Professional		$48.98	$48.98	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $93.33	Professional		$57.54	$57.54	$93.33