Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $149.40	Professional		$127.50	$127.50	$149.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $132.50	Professional		$125.00	$125.00	$132.50