Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $316.23	Professional		$109.65	$181.97	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $128.82	Professional		$91.20	$100.00	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $446.68 / $645.65	Facility		$331.13	$446.68	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $269.15	Professional		$223.87	$223.87	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $338.84	Professional		$199.53	$223.87	$338.84
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 $131.83 / $186.21 / $323.59	Professional		$131.83	$186.21	$323.59