Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $82.08 / $109.43	Professional		$42.82	$82.08	$109.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $87.54 / $87.54	Professional		$87.54	$87.54	$87.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $51.66	Professional		$51.66	$51.66	$51.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $128.72 / $187.46	Professional		$106.22	$128.72	$187.46
United Facility/Professional Facility Modifier Low / Median / High Price $124.97 / $124.97 / $124.97	Facility		$124.97	$124.97	$124.97
United Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $62.35 / $84.51	Professional		$53.69	$62.35	$84.51