Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.93 / $250.21 / $762.49	Facility		$99.93	$250.21	$762.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $163.80 / $219.25	Professional		$163.80	$163.80	$219.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.47 / $243.47 / $273.58	Professional		$243.47	$243.47	$273.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $170.35 / $170.35	Professional		$170.35	$170.35	$170.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $260.14 / $794.46	Professional		$260.14	$260.14	$794.46
United Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $199.66 / $419.98	Professional		$133.11	$199.66	$419.98