Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $146.22 / $146.22	Facility		$146.22	$146.22	$146.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $146.22 / $146.22	Professional		$135.59	$146.22	$146.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $179.59 / $179.59 / $1,291.04	Professional		$179.59	$179.59	$1,291.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.87 / $785.48 / $24,998.62	Facility		$469.87	$785.48	$24,998.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $367.96 / $723.59	Professional		$138.78	$367.96	$723.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $190.83 / $360.46	Professional		$164.81	$190.83	$360.46
United Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $234.92 / $456.75	Professional		$157.66	$234.92	$456.75