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 / $64.57 / $85.11	Professional		$57.54	$64.57	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $87.10	Professional		$60.26	$60.26	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $281.84	Professional		$95.50	$204.17	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $134.90	Professional		$47.86	$70.79	$134.90