Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $1,122.02	Facility		$138.04	$138.04	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $151.36	Professional		$128.82	$141.25	$151.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $162.18	Professional		$131.83	$147.91	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $316.23 / $707.95	Facility		$302.00	$316.23	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $831.76	Professional		$104.71	$234.42	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $380.19	Professional		$213.80	$323.59	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $229.09	Professional		$77.62	$83.18	$229.09