Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $286.20 / $385.66	Facility		$102.94	$286.20	$385.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $153.60	Professional		$153.60	$153.60	$153.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $97.11 / $102.94	Facility		$97.11	$97.11	$102.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $87.50 / $102.94	Professional		$87.50	$87.50	$102.94
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Facility		$102.93	$102.93	$102.93
United Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $102.94 / $166.84	Professional		$93.68	$102.94	$166.84