Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $47.10 / $47.10	Facility		$47.10	$47.10	$47.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $63.25	Professional		$47.10	$47.10	$63.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $64.25 / $78.67	Professional		$64.25	$64.25	$78.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $48.04	Professional		$48.04	$48.04	$48.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $74.80 / $228.43	Professional		$74.80	$74.80	$228.43
United Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $168.53 / $168.53	Facility		$168.53	$168.53	$168.53
United Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $57.41 / $89.36	Professional		$38.27	$57.41	$89.36