Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.10 / $94.10 / $94.10	Facility		$94.10	$94.10	$94.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $94.10 / $94.10	Professional		$94.10	$94.10	$94.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.78 / $212.40 / $212.40	Professional		$184.78	$212.40	$212.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $154.63	Professional		$154.63	$154.63	$154.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $123.71 / $375.60	Professional		$123.71	$123.71	$375.60
United Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $168.24 / $216.42	Professional		$112.16	$168.24	$216.42