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 $150.11 / $200.14 / $268.42	Professional		$150.11	$200.14	$268.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $115.53 / $561.95	Professional		$115.53	$115.53	$561.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $238.83 / $454.26	Professional		$152.77	$238.83	$454.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.95 / $397.68 / $471.89	Professional		$213.95	$397.68	$471.89
United Facility/Professional Professional Modifier Low / Median / High Price $167.64 / $218.23 / $498.13	Professional		$167.64	$218.23	$498.13