Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $872.90	Facility		$106.97	$106.97	$872.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $111.25	Professional		$106.97	$106.97	$111.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $128.37 / $128.37	Professional		$114.10	$128.37	$128.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.78 / $241.05 / $519.00	Facility		$231.78	$241.05	$519.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $165.60 / $182.00	Professional		$165.60	$165.60	$182.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $289.92 / $289.92	Professional		$164.02	$289.92	$289.92
United Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $59.90 / $59.90	Facility		$59.90	$59.90	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $226.78	Professional		$59.90	$85.58	$226.78