Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $102.80 / $102.80	Professional		$99.17	$102.80	$102.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $108.92 / $121.02	Professional		$108.92	$108.92	$121.02
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $105.87	Professional		$100.78	$100.78	$105.87