Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $258.52 / $314.87	Facility		$81.90	$258.52	$314.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $82.72	Professional		$81.90	$81.90	$82.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $82.86 / $96.93	Professional		$81.90	$82.86	$96.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $77.26 / $81.90	Facility		$77.26	$77.26	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $102.01	Professional		$81.90	$81.90	$102.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $81.90 / $93.95	Professional		$69.62	$81.90	$93.95
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $91.17 / $120.56	Professional		$81.90	$91.17	$120.56