Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $350.66 / $456.28	Facility		$195.83	$350.66	$456.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.83 / $195.83 / $195.83	Professional		$195.83	$195.83	$195.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $219.45 / $219.45 / $230.39	Professional		$219.45	$219.45	$230.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Facility		$215.17	$215.17	$215.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $149.16 / $149.16	Professional		$149.16	$149.16	$149.16
United Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $230.39 / $276.47	Professional		$190.20	$230.39	$276.47