Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $91.67 / $747.99	Facility		$91.67	$91.67	$747.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $91.67 / $95.33	Professional		$91.67	$91.67	$95.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $134.44 / $134.44	Professional		$122.22	$134.44	$134.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.60 / $206.54 / $444.00	Facility		$198.60	$206.54	$444.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $192.87 / $951.84	Professional		$85.39	$192.87	$951.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $248.44 / $248.44	Professional		$140.55	$248.44	$248.44
United Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $146.66 / $146.66	Facility		$146.66	$146.66	$146.66
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $73.33 / $239.92	Professional		$51.33	$73.33	$239.92