Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $166.61 / $202.92	Facility		$57.51	$166.61	$202.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $58.08	Professional		$57.51	$57.51	$58.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $53.40 / $57.51	Professional		$53.40	$53.40	$57.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $57.51	Facility		$54.25	$54.25	$57.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $64.77	Professional		$57.51	$57.51	$64.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $57.51 / $65.48	Professional		$48.88	$57.51	$65.48
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $93.21	Professional		$57.51	$57.51	$93.21