Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.62 / $184.50 / $332.51	Facility		$143.62	$184.50	$332.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $168.28	Professional		$73.20	$73.20	$168.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $73.04 / $85.45	Professional		$73.04	$73.04	$85.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $73.20	Facility		$69.06	$69.06	$73.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $93.23	Professional		$73.20	$73.20	$93.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $73.20 / $86.07	Professional		$62.22	$73.20	$86.07
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $81.48 / $107.52	Professional		$73.20	$81.48	$107.52