Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.16 / $207.16 / $207.16	Facility		$207.16	$207.16	$207.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.16 / $207.16 / $207.16	Professional		$207.16	$207.16	$207.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $217.80 / $265.68	Professional		$208.00	$217.80	$265.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $216.08 / $216.08	Professional		$216.08	$216.08	$216.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.62 / $252.62 / $771.49	Professional		$252.62	$252.62	$771.49
United Facility/Professional Professional Modifier Low / Median / High Price $129.26 / $193.89 / $274.68	Professional		$129.26	$193.89	$274.68