Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $214.00 / $214.00	Facility		$214.00	$214.00	$214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $214.00 / $214.00	Professional		$214.00	$214.00	$214.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $357.43	Professional		$280.00	$280.00	$357.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $272.55	Professional		$272.55	$272.55	$272.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.86 / $339.86 / $1,037.92	Professional		$339.86	$339.86	$1,037.92
United Facility/Professional Professional Modifier Low / Median / High Price $173.90 / $243.10 / $391.93	Professional		$173.90	$243.10	$391.93