Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $330.48 / $445.32	Facility		$117.36	$330.48	$445.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $174.77 / $295.52	Professional		$117.19	$174.77	$295.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $110.72 / $117.36	Facility		$110.72	$110.72	$117.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $99.76 / $117.36	Professional		$99.76	$99.76	$117.36
United Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $117.36 / $190.21	Professional		$106.80	$117.36	$190.21