Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $954.99	Professional		$169.82	$181.97	$954.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $524.81	Professional		$85.11	$169.82	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $457.09	Facility		$199.53	$199.53	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $933.25	Professional		$107.15	$181.97	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $537.03	Professional		$288.40	$426.58	$537.03
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 $151.36 / $177.83 / $660.69	Professional		$151.36	$177.83	$660.69