Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $213.93 / $288.27	Facility		$75.86	$213.93	$288.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $105.48 / $178.36	Professional		$75.86	$105.48	$178.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $71.56 / $75.86	Facility		$71.56	$71.56	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $64.48 / $75.86	Professional		$64.48	$64.48	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $75.86 / $122.95	Professional		$69.03	$75.86	$122.95