Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $365.42 / $492.40	Facility		$129.47	$365.42	$492.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $198.30 / $335.30	Professional		$129.47	$198.30	$335.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $122.15 / $129.47	Facility		$122.15	$122.15	$129.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $110.06 / $129.47	Professional		$110.06	$110.06	$129.47
United Facility/Professional Professional Modifier Low / Median / High Price $117.83 / $129.47 / $209.86	Professional		$117.83	$129.47	$209.86