Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.37 / $143.37 / $143.37	Facility		$143.37	$143.37	$143.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.37 / $197.85 / $197.85	Professional		$143.37	$197.85	$197.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $332.45 / $332.45 / $704.96	Professional		$332.45	$332.45	$704.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $102.95 / $123.35	Professional		$102.95	$102.95	$123.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.37 / $141.52 / $315.86	Professional		$114.37	$141.52	$315.86
United Facility/Professional Professional Modifier Low / Median / High Price $182.77 / $367.62 / $626.88	Professional		$182.77	$367.62	$626.88