Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Facility		$65.88	$65.88	$65.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $151.72 / $151.72	Professional		$151.72	$151.72	$151.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $62.15 / $65.88	Facility		$62.15	$62.15	$65.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $83.91	Professional		$65.88	$65.88	$83.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $161.97	Professional		$56.00	$56.00	$161.97
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $106.78	Professional		$65.88	$65.88	$106.78