Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $456.73 / $615.45	Facility		$165.83	$456.73	$615.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $238.41 / $403.13	Professional		$161.96	$238.41	$403.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $156.44 / $165.83	Facility		$156.44	$156.44	$165.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $140.96 / $165.83	Professional		$140.96	$140.96	$165.83
United Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $165.83 / $268.77	Professional		$150.91	$165.83	$268.77