Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $77.62	Professional		$57.54	$70.79	$77.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $53.70	Professional		$38.02	$38.02	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $229.09 / $302.00	Professional		$77.62	$229.09	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $141.25	Professional		$69.18	$104.71	$141.25