Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.10 / $209.10 / $209.10	Facility		$209.10	$209.10	$209.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.10 / $209.10 / $209.10	Professional		$209.10	$209.10	$209.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $262.12 / $262.12 / $268.18	Professional		$262.12	$262.12	$268.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $257.41	Professional		$257.41	$257.41	$257.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $778.75	Professional		$255.00	$255.00	$778.75
United Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $195.71 / $297.72	Professional		$130.47	$195.71	$297.72