Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.86 / $149.86 / $149.86	Facility		$149.86	$149.86	$149.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $149.86 / $149.86	Professional		$149.86	$149.86	$149.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $250.29	Professional		$196.00	$196.00	$250.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $178.04	Professional		$178.04	$178.04	$178.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.99 / $237.99 / $726.81	Professional		$237.99	$237.99	$726.81
United Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $182.66 / $284.32	Professional		$121.78	$182.66	$284.32