Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.57 / $173.57 / $173.57	Facility		$173.57	$173.57	$173.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $173.57 / $173.57	Professional		$67.15	$173.57	$173.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $26.80 / $40.18	Professional		$26.80	$26.80	$40.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $30.72 / $30.72	Professional		$26.11	$30.72	$30.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.00 / $432.00 / $432.00	Professional		$394.00	$432.00	$432.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $173.57 / $173.57	Facility		$67.15	$173.57	$173.57