Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $138.13 / $138.13	Facility		$138.13	$138.13	$138.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $138.13 / $138.13	Professional		$138.13	$138.13	$138.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $261.02 / $261.02	Professional		$261.02	$261.02	$261.02
United Facility/Professional Professional Modifier Low / Median / High Price $302.99 / $332.96 / $539.65	Professional		$302.99	$332.96	$539.65