Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $105.00 / $143.25	Professional		$73.66	$105.00	$143.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $53.37 / $310.32	Professional		$53.37	$53.37	$310.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $128.19 / $245.66	Professional		$75.25	$128.19	$245.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $194.69 / $255.19	Professional		$116.25	$194.69	$255.19
United Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $130.19 / $269.38	Professional		$93.15	$130.19	$269.38