Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.89 / $173.89 / $173.89	Facility		$173.89	$173.89	$173.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.89 / $173.89 / $173.89	Professional		$173.89	$173.89	$173.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $237.19 / $237.19 / $290.43	Professional		$237.19	$237.19	$290.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $215.87	Professional		$215.87	$215.87	$215.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.16 / $276.16 / $843.37	Professional		$276.16	$276.16	$843.37
United Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $197.54 / $318.45	Professional		$141.30	$197.54	$318.45