Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $162.97 / $162.97	Facility		$162.97	$162.97	$162.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $162.97	Professional		$162.97	$162.97	$162.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $223.51 / $377.93	Professional		$156.16	$223.51	$377.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $153.75 / $203.81	Facility		$153.75	$153.75	$203.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $138.53 / $162.97	Professional		$138.53	$138.53	$162.97
United Facility/Professional Professional Modifier Low / Median / High Price $161.35 / $184.17 / $262.02	Professional		$161.35	$184.17	$262.02