Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $232.28 / $313.01	Facility		$69.73	$232.28	$313.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $133.58 / $225.88	Professional		$69.73	$133.58	$225.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $69.73 / $95.63	Facility		$65.78	$69.73	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $95.63 / $95.63	Professional		$95.63	$95.63	$95.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $59.27 / $69.73	Professional		$45.32	$59.27	$69.73
United Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $69.73 / $69.73	Professional		$63.45	$69.73	$69.73