Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $257.23 / $764.20	Facility		$93.65	$257.23	$764.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $93.65 / $97.40	Professional		$93.65	$93.65	$97.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $99.90 / $500.73	Professional		$99.90	$99.90	$500.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.93 / $211.04 / $453.53	Facility		$202.93	$211.04	$453.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $160.65 / $973.41	Professional		$71.13	$160.65	$973.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $253.82 / $253.82	Professional		$143.60	$253.82	$253.82
United Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $52.45 / $52.45	Facility		$52.45	$52.45	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $74.92 / $198.54	Professional		$52.45	$74.92	$198.54