Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $831.76	Facility		$102.33	$102.33	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $109.65	Professional		$95.50	$104.71	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $120.23	Professional		$97.72	$109.65	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $229.09 / $524.81	Facility		$223.87	$229.09	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $616.60	Professional		$77.62	$173.78	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $275.42	Professional		$158.49	$239.88	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $169.82	Professional		$57.54	$61.66	$169.82