Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $165.85 / $165.85	Facility		$165.85	$165.85	$165.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.85 / $165.85 / $165.85	Professional		$165.85	$165.85	$165.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $217.00 / $277.00	Professional		$217.00	$217.00	$277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $184.84	Professional		$184.84	$184.84	$184.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $263.39 / $804.38	Professional		$263.39	$263.39	$804.38
United Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $202.16 / $314.67	Professional		$134.77	$202.16	$314.67