Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $124.38 / $124.38	Facility		$72.20	$124.38	$124.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $72.20 / $72.20	Professional		$72.20	$72.20	$72.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $120.62	Professional		$95.00	$95.00	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $88.93	Professional		$88.93	$88.93	$88.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $114.69 / $350.25	Professional		$114.69	$114.69	$350.25
United Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $88.03 / $132.26	Professional		$58.68	$88.03	$132.26