Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $151.80 / $1,238.69	Facility		$151.80	$151.80	$1,238.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $151.80 / $157.87	Professional		$151.80	$151.80	$157.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $222.64 / $1,601.19	Professional		$202.40	$222.64	$1,601.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.90 / $342.06 / $735.64	Facility		$328.90	$342.06	$735.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $455.42 / $1,577.41	Professional		$114.60	$455.42	$1,577.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $411.42 / $411.42	Professional		$232.76	$411.42	$411.42
United Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $80.09 / $80.09	Facility		$80.09	$80.09	$80.09
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $303.18	Professional		$85.01	$121.44	$303.18