Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $67.67 / $67.67	Professional		$67.67	$67.67	$67.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,808.24 / $3,808.24 / $3,808.24	Professional		$3,808.24	$3,808.24	$3,808.24
United Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $62.50 / $101.30	Professional		$56.88	$62.50	$101.30