Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $211.11 / $284.47	Facility		$75.97	$211.11	$284.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $69.92	Professional		$69.92	$69.92	$69.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $75.97	Facility		$71.67	$71.67	$75.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $64.56 / $75.97	Professional		$64.56	$64.56	$75.97
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $75.97 / $123.13	Professional		$69.13	$75.97	$123.13