Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $134.90	Professional		$87.10	$107.15	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $141.25	Professional		$109.65	$109.65	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $181.97	Professional		$125.89	$125.89	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $398.11	Professional		$134.90	$288.40	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $154.88	Professional		$67.61	$100.00	$154.88