Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $122.85 / $122.85	Facility		$122.85	$122.85	$122.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.29 / $122.85 / $122.96	Professional		$114.29	$122.85	$122.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $158.82 / $1,285.77	Professional		$158.82	$158.82	$1,285.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.96 / $589.12 / $4,854.60	Facility		$346.96	$589.12	$4,854.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $365.75 / $635.40	Professional		$114.42	$365.75	$635.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $157.33 / $299.99	Professional		$135.88	$157.33	$299.99
United Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $260.35 / $380.12	Professional		$134.38	$260.35	$380.12