Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $66.23 / $66.23	Professional		$66.23	$66.23	$66.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $84.67 / $89.75	Facility		$84.67	$84.67	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $114.30	Professional		$89.75	$89.75	$114.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $76.29 / $1,500.79	Professional		$76.29	$76.29	$1,500.79
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $145.47	Professional		$89.75	$89.75	$145.47