Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $295.95 / $398.81	Facility		$104.73	$295.95	$398.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $155.97 / $263.74	Professional		$104.73	$155.97	$263.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $98.80 / $104.73	Facility		$98.80	$98.80	$104.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $89.02 / $104.73	Professional		$89.02	$89.02	$104.73
United Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $104.73 / $169.74	Professional		$95.30	$104.73	$169.74