Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $298.61 / $298.61 / $298.61	Professional		$298.61	$298.61	$298.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $124.43 / $131.90	Facility		$124.43	$124.43	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $167.98	Professional		$131.90	$131.90	$167.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $112.12 / $407.44	Professional		$112.12	$112.12	$407.44
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $213.78	Professional		$131.90	$131.90	$213.78