Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $343.77 / $516.95	Facility		$106.33	$343.77	$516.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $146.02	Professional		$106.33	$106.33	$146.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $140.69 / $164.60	Professional		$107.36	$140.69	$164.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $100.32 / $106.33	Facility		$100.32	$100.32	$106.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $176.69	Professional		$106.33	$106.33	$176.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $106.33 / $375.75	Professional		$90.38	$106.33	$375.75
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $118.37 / $156.18	Professional		$106.33	$118.37	$156.18