Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $131.83	Professional		$64.57	$89.13	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $97.72 / $245.47	Professional		$24.55	$97.72	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $660.69	Facility		$363.08	$602.56	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $275.42	Professional		$69.18	$95.50	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $234.42	Professional		$107.15	$117.49	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,348.96	Facility		$977.24	$1,148.15	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $295.12	Professional		$69.18	$112.20	$295.12