Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $398.11 / $812.83	Facility		$47.86	$398.11	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $288.40	Professional		$47.86	$52.48	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $724.44	Professional		$186.21	$331.13	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $245.47	Facility		$104.71	$109.65	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $93.33	Professional		$35.48	$74.13	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $131.83	Professional		$125.89	$125.89	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $109.65	Professional		$26.92	$40.74	$109.65