Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $588.84	Professional		$97.72	$128.82	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $380.19	Professional		$144.54	$158.49	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $389.05	Professional		$102.33	$141.25	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $269.15	Professional		$107.15	$112.20	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $281.84	Professional		$95.50	$131.83	$281.84