Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $162.32 / $282.70	Professional		$162.32	$162.32	$282.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $202.82	Professional		$172.40	$172.40	$202.82
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $328.73	Professional		$202.82	$202.82	$328.73