Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $117.56 / $959.31	Facility		$117.56	$117.56	$959.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $117.56 / $122.27	Professional		$117.56	$117.56	$122.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.73 / $264.91 / $570.17	Facility		$254.73	$264.91	$570.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $200.33	Professional		$182.29	$182.29	$200.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.26 / $318.63 / $318.63	Professional		$180.26	$318.63	$318.63
United Facility/Professional Facility Modifier Low / Median / High Price $188.10 / $188.10 / $188.10	Facility		$188.10	$188.10	$188.10
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $94.05 / $249.23	Professional		$65.84	$94.05	$249.23