Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $407.38 / $489.78	Facility		$128.82	$407.38	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $134.90	Professional		$128.82	$128.82	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $416.87	Professional		$177.83	$199.53	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $128.82	Facility		$123.03	$128.82	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $128.82	Professional		$109.65	$109.65	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $208.93	Professional		$128.82	$128.82	$208.93