Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $193.91 / $236.17	Facility		$61.80	$193.91	$236.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $215.73 / $415.10	Professional		$61.80	$215.73	$415.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $61.80	Facility		$55.28	$55.28	$61.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $52.53 / $61.80	Professional		$52.53	$52.53	$61.80
United Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $61.80 / $100.54	Professional		$56.24	$61.80	$100.54