Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $302.00	Professional		$173.78	$223.87	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $269.15	Professional		$199.53	$208.93	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $309.03	Facility		$102.33	$102.33	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $302.00	Professional		$223.87	$263.03	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $309.03	Professional		$208.93	$234.42	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $147.91 / $316.23	Facility		$104.71	$147.91	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $338.84	Professional		$104.71	$181.97	$338.84