Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Professional		$32.03	$32.03	$32.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $64.61 / $68.48	Facility		$64.61	$64.61	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $87.22	Professional		$68.48	$68.48	$87.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $58.22 / $68.48	Professional		$56.39	$58.22	$68.48
United Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $68.48 / $111.01	Professional		$68.17	$68.48	$111.01