Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.25 / $151.25 / $151.25	Facility		$151.25	$151.25	$151.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $151.25 / $151.25	Professional		$151.25	$151.25	$151.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $252.62	Professional		$198.00	$198.00	$252.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $168.57	Professional		$168.57	$168.57	$168.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.21 / $240.21 / $733.58	Professional		$240.21	$240.21	$733.58
United Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $184.37 / $286.97	Professional		$122.91	$184.37	$286.97