Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.13 / $201.13 / $201.13	Facility		$201.13	$201.13	$201.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.55 / $201.13 / $486.73	Professional		$169.55	$201.13	$486.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $229.09 / $323.08	Professional		$93.56	$229.09	$323.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.70 / $201.71 / $434.41	Facility		$197.70	$201.71	$434.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $250.01 / $927.32	Professional		$115.60	$250.01	$927.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.42 / $534.15 / $534.15	Professional		$295.42	$534.15	$534.15
United Facility/Professional Professional Modifier Low / Median / High Price $149.82 / $196.02 / $666.83	Professional		$149.82	$196.02	$666.83