Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $221.00	Professional		$221.00	$221.00	$221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.12 / $130.12 / $137.93	Facility		$130.12	$130.12	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $175.66	Professional		$137.93	$137.93	$175.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $274.54	Professional		$117.24	$117.24	$274.54
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $223.55	Professional		$137.93	$137.93	$223.55