Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $1,220.65	Facility		$101.72	$101.72	$1,220.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $95.96 / $101.72	Facility		$95.96	$95.96	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $129.54	Professional		$101.72	$101.72	$129.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $86.46 / $264.17	Professional		$86.46	$86.46	$264.17
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $164.87	Professional		$101.72	$101.72	$164.87