Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $223.98 / $223.98	Professional		$223.98	$223.98	$223.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $116.79 / $123.80	Facility		$116.79	$116.79	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $157.66	Professional		$123.80	$123.80	$157.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $105.23 / $278.69	Professional		$105.23	$105.23	$278.69
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $200.65	Professional		$123.80	$123.80	$200.65