Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $489.78 / $676.08	Facility		$128.82	$489.78	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $234.42	Professional		$51.29	$97.72	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $741.31	Professional		$50.12	$83.18	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $117.49 / $269.15	Facility		$114.82	$117.49	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $316.23	Professional		$52.48	$61.66	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $141.25	Professional		$81.28	$134.90	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $120.23	Professional		$29.51	$39.81	$120.23