Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $281.25 / $281.25	Facility		$281.25	$281.25	$281.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.25 / $281.25 / $281.25	Professional		$281.25	$281.25	$281.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $283.00 / $360.70	Professional		$283.00	$283.00	$360.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $293.52	Professional		$293.52	$293.52	$293.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.97 / $342.97 / $1,047.43	Professional		$342.97	$342.97	$1,047.43
United Facility/Professional Professional Modifier Low / Median / High Price $175.49 / $263.24 / $372.92	Professional		$175.49	$263.24	$372.92