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 $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $223.87	Professional		$79.43	$79.43	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $77.62	Facility		$74.13	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $93.33	Professional		$77.62	$77.62	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $186.21	Professional		$138.04	$151.36	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $125.89	Professional		$77.62	$107.15	$125.89