Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $185.36 / $249.77	Facility		$65.63	$185.36	$249.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $100.06 / $169.19	Professional		$65.62	$100.06	$169.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $61.91 / $65.63	Facility		$61.91	$61.91	$65.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $55.79 / $65.63	Professional		$55.79	$55.79	$65.63
United Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $65.63 / $106.37	Professional		$59.72	$65.63	$106.37