Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.35 / $218.02 / $225.14	Professional		$155.35	$218.02	$225.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $118.45 / $150.43	Professional		$118.45	$118.45	$150.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $451.23 / $641.21	Facility		$330.00	$451.23	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $294.32	Professional		$245.66	$245.66	$294.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.68 / $282.91 / $401.06	Professional		$218.68	$282.91	$401.06
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $203.34 / $347.33	Professional		$146.94	$203.34	$347.33