Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $194.98	Professional		$123.03	$147.91	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $269.15	Professional		$93.33	$93.33	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $457.09	Professional		$223.87	$257.04	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $190.55	Professional		$77.62	$114.82	$190.55