Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.67 / $107.67 / $107.67	Facility		$107.67	$107.67	$107.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $107.67 / $107.67	Professional		$102.13	$107.67	$107.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $169.30 / $700.04	Professional		$143.33	$169.30	$700.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.62 / $491.00 / $676.02	Facility		$490.62	$491.00	$676.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $331.36 / $547.24	Professional		$108.36	$331.36	$547.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.02 / $264.86 / $264.86	Professional		$121.02	$264.86	$264.86
United Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $141.32 / $396.20	Professional		$128.44	$141.32	$396.20