Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.26 / $139.26 / $139.26	Facility		$139.26	$139.26	$139.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $139.26 / $139.26	Professional		$139.26	$139.26	$139.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $189.96 / $232.60	Professional		$189.96	$189.96	$232.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $132.76	Professional		$132.76	$132.76	$132.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $221.16 / $675.43	Professional		$221.16	$221.16	$675.43
United Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $169.75 / $255.04	Professional		$113.16	$169.75	$255.04