Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $138.90 / $1,133.42	Facility		$138.90	$138.90	$1,133.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $138.90 / $144.46	Professional		$138.90	$138.90	$144.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $166.68 / $166.68	Professional		$148.16	$166.68	$166.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.95 / $312.99 / $673.74	Facility		$300.95	$312.99	$673.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.24 / $215.24 / $236.55	Professional		$215.24	$215.24	$236.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $376.46 / $376.46	Professional		$212.98	$376.46	$376.46
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $294.47	Professional		$77.78	$111.12	$294.47