Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $193.63 / $317.61	Professional		$138.19	$193.63	$317.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $127.99	Professional		$100.78	$100.78	$127.99
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 $224.59 / $224.59 / $269.08	Professional		$224.59	$224.59	$269.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $255.57 / $359.69	Professional		$197.54	$255.57	$359.69
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 $130.79 / $187.73 / $338.30	Professional		$130.79	$187.73	$338.30