Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,071.52 / $1,584.89	Facility		$128.82	$1,071.52	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $776.25	Professional		$128.82	$134.90	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $1,819.70	Professional		$125.89	$204.17	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $295.12 / $660.69	Facility		$281.84	$295.12	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $724.44	Professional		$128.82	$141.25	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $354.81	Professional		$199.53	$338.84	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $436.52	Professional		$104.71	$125.89	$436.52