Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.25 / $145.25 / $145.25	Professional		$145.25	$145.25	$145.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $106.31 / $106.31	Professional		$106.31	$106.31	$106.31
United Facility/Professional Professional Modifier Low / Median / High Price $141.46 / $155.44 / $251.95	Professional		$141.46	$155.44	$251.95