Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.13 / $124.13 / $1,012.92	Facility		$124.13	$124.13	$1,012.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $124.13 / $129.10	Professional		$124.13	$124.13	$129.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $132.41 / $440.58	Professional		$132.41	$132.41	$440.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.95 / $279.70 / $601.13	Facility		$268.95	$279.70	$601.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $372.19 / $1,288.89	Professional		$99.68	$372.19	$1,288.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $336.43 / $336.43	Professional		$190.34	$336.43	$336.43
United Facility/Professional Facility Modifier Low / Median / High Price $198.61 / $198.61 / $198.61	Facility		$198.61	$198.61	$198.61
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $263.81	Professional		$69.51	$99.31	$263.81