Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $99.16 / $99.16	Professional		$99.16	$99.16	$99.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $100.91 / $106.97	Facility		$100.91	$100.91	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $136.22	Professional		$106.97	$106.97	$136.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $90.92 / $106.97	Professional		$90.92	$90.92	$106.97
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $173.37	Professional		$106.97	$106.97	$173.37