Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $164.55 / $200.41	Facility		$46.32	$164.55	$200.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $52.74	Professional		$46.32	$46.32	$52.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $52.75 / $61.70	Professional		$46.32	$52.75	$61.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $43.70 / $46.32	Facility		$43.70	$43.70	$46.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $58.99	Professional		$46.32	$46.32	$58.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $46.32 / $92.17	Professional		$39.36	$46.32	$92.17
United Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $51.60 / $51.60	Facility		$51.60	$51.60	$51.60
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $51.56 / $68.18	Professional		$46.32	$51.56	$68.18