Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $147.80 / $554.42	Professional		$123.78	$147.80	$554.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $127.56 / $145.80	Professional		$127.56	$127.56	$145.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.63 / $492.63 / $492.63	Facility		$492.63	$492.63	$492.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.74 / $196.45 / $379.18	Professional		$136.74	$196.45	$379.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.27 / $197.72 / $331.08	Professional		$153.27	$197.72	$331.08
United Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $161.87 / $298.06	Professional		$112.12	$161.87	$298.06