Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $239.88 / $295.12	Facility		$77.62	$239.88	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $257.04	Professional		$109.65	$123.03	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $77.62 / $77.62	Facility		$72.44	$77.62	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $77.62	Professional		$66.07	$66.07	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $125.89	Professional		$77.62	$77.62	$125.89