Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $223.55 / $1,141.04	Facility		$68.20	$223.55	$1,141.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $75.02	Professional		$68.20	$68.20	$75.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $71.65 / $135.18	Professional		$68.20	$71.65	$135.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $64.34 / $68.20	Facility		$64.34	$64.34	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $77.01	Professional		$68.20	$68.20	$77.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $68.20 / $190.05	Professional		$57.97	$68.20	$190.05
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $76.38 / $100.39	Professional		$68.20	$76.38	$100.39