Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.60 / $137.69 / $330.48	Professional		$129.60	$137.69	$330.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $116.44 / $133.91	Professional		$113.95	$116.44	$133.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $149.86	Professional		$115.76	$115.76	$149.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $193.79 / $289.54	Professional		$131.50	$193.79	$289.54
United Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $173.50 / $366.66	Professional		$111.00	$173.50	$366.66