Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $206.31 / $10,877.56	Facility		$75.91	$206.31	$10,877.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $106.92 / $180.79	Professional		$73.16	$106.92	$180.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $71.61 / $75.91	Facility		$71.61	$71.61	$75.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $64.52 / $75.91	Professional		$64.52	$64.52	$75.91
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $75.91 / $123.03	Professional		$69.08	$75.91	$123.03