Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $239.88 / $288.40	Facility		$75.86	$239.88	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Professional		$75.86	$75.86	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $251.19	Professional		$107.15	$123.03	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $75.86 / $75.86	Facility		$72.44	$75.86	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $123.03	Professional		$75.86	$75.86	$123.03