Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $222.25 / $222.25	Facility		$222.25	$222.25	$222.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $222.25	Professional		$222.25	$222.25	$222.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $405.39 / $685.48	Professional		$222.25	$405.39	$685.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $209.67 / $399.36	Facility		$209.67	$209.67	$399.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $188.91 / $222.25	Professional		$188.91	$188.91	$222.25
United Facility/Professional Professional Modifier Low / Median / High Price $220.03 / $251.14 / $513.46	Professional		$220.03	$251.14	$513.46