Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Facility		$163.24	$163.24	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Professional		$163.24	$163.24	$163.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Professional		$163.24	$163.24	$163.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.85 / $257.85 / $257.85	Professional		$257.85	$257.85	$257.85
United Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $191.12 / $214.74	Professional		$158.91	$191.12	$214.74