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 $380.19 / $380.19 / $426.58	Professional		$380.19	$380.19	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $309.03	Facility		$204.17	$204.17	$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 $213.80 / $302.00 / $645.65	Facility		$213.80	$302.00	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $691.83	Professional		$213.80	$380.19	$691.83