Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $194.98 / $302.00	Professional		$91.20	$194.98	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $151.36	Professional		$107.15	$117.49	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $645.65	Facility		$331.13	$331.13	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $295.12	Professional		$245.47	$245.47	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $380.19	Professional		$223.87	$245.47	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $426.58	Facility		$112.20	$141.25	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $363.08	Professional		$147.91	$208.93	$363.08