Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $93.70 / $94.73	Facility		$93.70	$93.70	$94.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $94.73 / $142.86	Professional		$90.80	$94.73	$142.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $124.74 / $205.82	Professional		$112.27	$124.74	$205.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $240.71 / $450.33	Professional		$114.48	$240.71	$450.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $237.95 / $237.95	Professional		$109.16	$237.95	$237.95
United Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $135.13 / $301.33	Professional		$84.34	$135.13	$301.33