Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $89.66 / $89.66	Professional		$89.66	$89.66	$89.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $90.51 / $138.27	Professional		$90.51	$90.51	$138.27
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $162.08	Professional		$100.00	$100.00	$162.08