Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $269.15	Professional		$138.04	$138.04	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $426.58	Professional		$177.83	$204.17	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $177.83	Facility		$128.82	$177.83	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $138.04	Professional		$117.49	$117.49	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $234.42	Professional		$134.90	$154.88	$234.42