Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $197.75 / $240.84	Facility		$79.86	$197.75	$240.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $87.85	Professional		$79.86	$79.86	$87.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $63.38 / $79.86	Professional		$63.38	$63.38	$79.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $75.34 / $79.86	Facility		$75.34	$75.34	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $81.77	Professional		$79.86	$79.86	$81.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $79.86 / $139.16	Professional		$67.88	$79.86	$139.16
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $88.90 / $117.56	Professional		$79.86	$88.90	$117.56