Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.76 / $254.78 / $756.92	Facility		$92.76	$254.78	$756.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $96.47	Professional		$92.76	$92.76	$96.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $136.05 / $377.50	Professional		$123.68	$136.05	$377.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.98 / $209.01 / $449.96	Facility		$200.98	$209.01	$449.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $277.95 / $962.62	Professional		$91.96	$277.95	$962.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $251.40 / $251.40	Professional		$142.22	$251.40	$251.40
United Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Facility		$148.41	$148.41	$148.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $74.20 / $268.27	Professional		$51.95	$74.20	$268.27