Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $217.90 / $20,637.49	Facility		$71.37	$217.90	$20,637.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $79.28	Professional		$71.37	$71.37	$79.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $69.83 / $83.67	Professional		$69.83	$69.83	$83.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $67.33 / $71.37	Facility		$67.33	$67.33	$71.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $87.49	Professional		$71.37	$71.37	$87.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $71.37 / $83.77	Professional		$60.66	$71.37	$83.77
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $79.45 / $93.50	Professional		$71.37	$79.45	$93.50