Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $1,096.48	Facility		$131.83	$131.83	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $144.54	Professional		$123.03	$134.90	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,819.70	Professional		$489.78	$870.96	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $302.00 / $676.08	Facility		$288.40	$302.00	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $257.04	Professional		$97.72	$204.17	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $363.08	Professional		$309.03	$309.03	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $223.87	Professional		$74.13	$107.15	$223.87