Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $104.90 / $104.90	Professional		$104.90	$104.90	$104.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $172.96 / $172.96	Professional		$116.00	$172.96	$172.96
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $221.19	Professional		$136.47	$136.47	$221.19