Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $203.61 / $247.99	Facility		$66.00	$203.61	$247.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $73.31	Professional		$66.00	$66.00	$73.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $65.25 / $78.18	Professional		$65.25	$65.25	$78.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $62.26 / $66.00	Facility		$62.26	$62.26	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $84.06	Professional		$66.00	$66.00	$84.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $66.00 / $74.84	Professional		$56.10	$66.00	$74.84
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $73.47 / $97.15	Professional		$66.00	$73.47	$97.15