Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $149.76 / $182.40	Facility		$47.97	$149.76	$182.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $48.45	Professional		$47.97	$47.97	$48.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $48.00 / $48.00	Professional		$47.98	$48.00	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $47.97	Facility		$45.26	$45.26	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $61.10	Professional		$47.97	$47.97	$61.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $44.00 / $49.50	Professional		$40.77	$44.00	$49.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.97 / $77.75	Professional		$47.49	$47.97	$77.75