Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $58.69 / $58.69	Professional		$58.69	$58.69	$58.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $63.47 / $67.27	Facility		$63.47	$63.47	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $85.68	Professional		$67.27	$67.27	$85.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $57.18 / $199.01	Professional		$57.18	$57.18	$199.01
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $109.03	Professional		$67.27	$67.27	$109.03