Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $257.04	Professional		$75.86	$97.72	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $131.83	Professional		$123.03	$123.03	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Professional		$89.13	$89.13	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $371.54	Professional		$123.03	$269.15	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $173.78	Professional		$61.66	$93.33	$173.78