Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $187.00 / $187.00	Professional		$187.00	$187.00	$187.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $100.66 / $106.70	Facility		$100.66	$100.66	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $135.88	Professional		$106.70	$106.70	$135.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $90.70 / $507.56	Professional		$90.70	$90.70	$507.56
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $172.94	Professional		$106.70	$106.70	$172.94