Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $184.20 / $289.48	Facility		$75.03	$184.20	$289.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $103.03	Professional		$75.03	$75.03	$103.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $76.18 / $89.12	Professional		$75.03	$76.18	$89.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $70.78 / $75.02	Facility		$70.78	$70.78	$75.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $95.55	Professional		$75.02	$75.02	$95.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $75.03 / $112.27	Professional		$63.78	$75.03	$112.27
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $83.52 / $110.20	Professional		$75.03	$83.52	$110.20