Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $174.77 / $218.81	Professional		$158.56	$174.77	$218.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $306.62 / $389.41	Professional		$275.95	$306.62	$389.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $215.18 / $619.33	Professional		$136.86	$215.18	$619.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.09 / $228.25 / $390.94	Professional		$168.09	$228.25	$390.94
United Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $218.24 / $440.83	Professional		$126.95	$218.24	$440.83