Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $123.03	Professional		$77.62	$93.33	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $123.03	Professional		$93.33	$93.33	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $120.23	Professional		$83.18	$83.18	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $346.74	Professional		$117.49	$251.19	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $131.83	Professional		$58.88	$89.13	$131.83