Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $741.31	Facility		$91.20	$91.20	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $104.71	Professional		$91.20	$95.50	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $120.23	Professional		$100.00	$109.65	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $208.93 / $467.74	Facility		$199.53	$208.93	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $549.54	Professional		$85.11	$194.98	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $251.19	Professional		$141.25	$234.42	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $190.55	Professional		$51.29	$63.10	$190.55