Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.16 / $335.16 / $335.16	Professional		$335.16	$335.16	$335.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $104.86 / $111.15	Facility		$104.86	$104.86	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $141.56	Professional		$111.15	$111.15	$141.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $94.48 / $285.98	Professional		$94.48	$94.48	$285.98
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $180.15	Professional		$111.15	$111.15	$180.15