Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $83.18	Professional		$52.48	$64.57	$83.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $120.23	Professional		$104.71	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $138.04	Professional		$93.33	$93.33	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $213.80 / $275.42	Professional		$72.44	$213.80	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $123.03	Professional		$63.10	$95.50	$123.03