Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $204.17	Professional		$63.10	$77.62	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $102.33	Professional		$77.62	$77.62	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $131.83	Professional		$109.65	$109.65	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $288.40	Professional		$95.50	$208.93	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $109.65	Professional		$47.86	$74.13	$109.65