Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.94 / $85.94 / $85.94	Facility		$85.94	$85.94	$85.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $85.94 / $85.94	Professional		$85.94	$85.94	$85.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $143.54	Professional		$113.00	$113.00	$143.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $101.95	Professional		$101.95	$101.95	$101.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $416.81	Professional		$136.47	$136.47	$416.81
United Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $104.75 / $157.38	Professional		$69.84	$104.75	$157.38