Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.68 / $147.90 / $147.90	Professional		$142.68	$147.90	$147.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $156.60 / $174.00	Professional		$156.60	$156.60	$174.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $153.69	Professional		$145.00	$145.00	$153.69