Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.01 / $155.01 / $155.01	Professional		$155.01	$155.01	$155.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $87.98	Facility		$83.00	$83.00	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $112.05	Professional		$87.98	$87.98	$112.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $74.78 / $91.21	Professional		$74.78	$74.78	$91.21
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $142.60	Professional		$87.98	$87.98	$142.60