Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $1,230.27	Facility		$151.36	$151.36	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $162.18	Professional		$141.25	$154.88	$162.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $199.53	Professional		$162.18	$181.97	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $776.25	Facility		$331.13	$338.84	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $912.01	Professional		$114.82	$257.04	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $407.38	Professional		$234.42	$354.81	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $251.19	Professional		$85.11	$91.20	$251.19