Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $202.08 / $272.31	Facility		$66.64	$202.08	$272.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $85.43 / $85.43	Professional		$85.43	$85.43	$85.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $66.64	Facility		$62.87	$62.87	$66.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $56.64 / $66.64	Professional		$56.64	$56.64	$66.64
United Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
United Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $66.64 / $86.52	Professional		$65.97	$66.64	$86.52