Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $93.83 / $93.83	Facility		$93.83	$93.83	$93.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $93.83 / $93.83	Professional		$93.83	$93.83	$93.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $156.71	Professional		$123.00	$123.00	$156.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $109.58	Professional		$109.58	$109.58	$109.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $149.01 / $455.06	Professional		$149.01	$149.01	$455.06
United Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $114.37 / $178.02	Professional		$76.25	$114.37	$178.02