Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $2,500.00 / $27,898.63	Facility		$102.85	$2,500.00	$27,898.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $94.71 / $94.71	Professional		$94.71	$94.71	$94.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Facility		$102.85	$102.85	$102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $108.93 / $108.93	Professional		$102.88	$108.93	$108.93
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $178.29	Professional		$110.00	$110.00	$178.29