Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $181.97	Professional		$60.26	$64.57	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $102.33	Professional		$79.43	$79.43	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $120.23	Professional		$74.13	$74.13	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $288.40	Professional		$97.72	$208.93	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $138.04	Professional		$48.98	$72.44	$138.04