Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.57 / $197.57 / $197.57	Facility		$197.57	$197.57	$197.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.57 / $197.57 / $197.57	Professional		$197.57	$197.57	$197.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $207.72 / $253.39	Professional		$199.00	$207.72	$253.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $175.04	Professional		$175.04	$175.04	$175.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.94 / $240.94 / $735.82	Professional		$240.94	$240.94	$735.82
United Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $184.93 / $261.98	Professional		$123.28	$184.93	$261.98