Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $365.83 / $5,889.35	Facility		$151.16	$365.83	$5,889.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $98.29 / $98.29	Professional		$98.29	$98.29	$98.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $142.61 / $151.16	Facility		$142.61	$142.61	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $192.52	Professional		$151.16	$151.16	$192.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $344.56	Professional		$128.49	$128.49	$344.56
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $245.01	Professional		$151.16	$151.16	$245.01