Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $275.42 / $6,918.31	Facility		$72.44	$275.42	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $131.83	Professional		$72.44	$72.44	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $162.18	Professional		$72.44	$72.44	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $72.44 / $72.44	Facility		$69.18	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $93.33	Professional		$72.44	$72.44	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $125.89	Professional		$61.66	$72.44	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $131.83	Facility		$72.44	$72.44	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $120.23	Professional		$72.44	$81.28	$120.23