Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $102.33	Professional		$56.23	$64.57	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $95.50	Professional		$64.57	$64.57	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $239.88	Professional		$81.28	$173.78	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $93.33	Professional		$40.74	$63.10	$93.33