Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $290.89 / $780.25	Facility		$97.28	$290.89	$780.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $41.06	Professional		$40.65	$40.65	$41.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $41.20	Professional		$40.65	$41.20	$41.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $40.65	Facility		$38.35	$38.35	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $51.78	Professional		$40.65	$40.65	$51.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $167.40	Professional		$34.54	$34.54	$167.40
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $65.88	Professional		$40.65	$40.65	$65.88