Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.83 / $270.83 / $270.83	Facility		$270.83	$270.83	$270.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.83 / $270.83 / $270.83	Professional		$270.83	$270.83	$270.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.56 / $402.56 / $452.35	Professional		$402.56	$402.56	$452.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $306.22	Professional		$306.22	$306.22	$306.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.12 / $430.12 / $1,313.55	Professional		$430.12	$430.12	$1,313.55
United Facility/Professional Professional Modifier Low / Median / High Price $220.08 / $330.12 / $496.01	Professional		$220.08	$330.12	$496.01