Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.87 / $107.87 / $107.87	Facility		$107.87	$107.87	$107.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $107.87 / $107.87	Professional		$107.87	$107.87	$107.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $113.41 / $138.35	Professional		$109.00	$113.41	$138.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $124.75	Professional		$124.75	$124.75	$124.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $131.55 / $401.74	Professional		$131.55	$131.55	$401.74
United Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $100.96 / $143.03	Professional		$67.31	$100.96	$143.03