Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $62.88 / $62.88	Facility		$62.88	$62.88	$62.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $62.88 / $62.88	Professional		$62.88	$62.88	$62.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $85.77 / $105.02	Professional		$85.77	$85.77	$105.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $64.86	Professional		$64.86	$64.86	$64.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $99.86 / $304.97	Professional		$99.86	$99.86	$304.97
United Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $76.64 / $119.30	Professional		$51.10	$76.64	$119.30