Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $309.03	Professional		$177.83	$213.80	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $446.68	Professional		$104.71	$204.17	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $912.01	Professional		$147.91	$323.59	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $478.63	Professional		$239.88	$275.42	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $724.44	Facility		$537.03	$616.60	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $407.38 / $616.60	Professional		$123.03	$407.38	$616.60