Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $257.04 / $28,840.32	Facility		$81.28	$257.04	$28,840.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $93.33	Professional		$81.28	$81.28	$93.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $128.82	Professional		$81.28	$81.28	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $81.28	Facility		$77.62	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $95.50	Professional		$81.28	$81.28	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $85.11	Professional		$69.18	$81.28	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Facility		$81.28	$81.28	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $93.33	Professional		$81.28	$87.10	$93.33