Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $123.03	Professional		$81.28	$109.65	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $158.49	Professional		$41.69	$74.13	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.92 / $501.19	Facility		$6.61	$6.92	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $147.91	Professional		$79.43	$120.23	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Professional		$309.03	$309.03	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $4,466.84	Facility		$3,311.31	$3,890.45	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $147.91	Professional		$47.86	$79.43	$147.91