Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $114.24 / $114.24	Professional		$114.24	$114.24	$114.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $95.31 / $101.03	Facility		$95.31	$95.31	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $128.66	Professional		$101.03	$101.03	$128.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $85.88 / $227.46	Professional		$85.88	$85.88	$227.46
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $163.75	Professional		$101.03	$101.03	$163.75