Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.06 / $133.06 / $133.06	Facility		$133.06	$133.06	$133.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $133.06 / $133.06	Professional		$133.06	$133.06	$133.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Professional		$134.00	$134.00	$134.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $101.29	Professional		$101.29	$101.29	$101.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $162.26 / $495.53	Professional		$162.26	$162.26	$495.53
United Facility/Professional Facility Modifier Low / Median / High Price $355.31 / $355.31 / $355.31	Facility		$355.31	$355.31	$355.31
United Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $124.53 / $212.86	Professional		$83.02	$124.53	$212.86