Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.95 / $58.95 / $58.95	Facility		$58.95	$58.95	$58.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $58.95 / $58.95	Professional		$58.95	$58.95	$58.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $77.50 / $98.46	Professional		$77.50	$77.50	$98.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $61.11	Professional		$61.11	$61.11	$61.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $93.63 / $285.92	Professional		$93.63	$93.63	$285.92
United Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $71.86 / $111.85	Professional		$47.91	$71.86	$111.85