Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $208.90	Professional		$163.19	$163.19	$208.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $153.60	Professional		$153.60	$153.60	$153.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $172.80 / $172.80	Professional		$172.80	$172.80	$172.80
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $192.00	Professional		$160.00	$160.00	$192.00