Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Facility		$162.00	$162.00	$162.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $162.00 / $162.00	Professional		$148.18	$162.00	$162.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $207.49 / $456.97	Professional		$190.36	$207.49	$456.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.16 / $1,519.55 / $1,520.72	Facility		$1,052.16	$1,519.55	$1,520.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $180.88 / $823.92	Professional		$148.30	$180.88	$823.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.11 / $391.80 / $391.80	Professional		$176.11	$391.80	$391.80
United Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $196.45 / $586.10	Professional		$122.07	$196.45	$586.10