Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $665.19	Facility		$137.72	$137.72	$665.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $129.61 / $129.61	Professional		$129.61	$129.61	$129.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $130.83 / $153.91	Professional		$24.91	$130.83	$153.91
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $249.47	Professional		$153.91	$153.91	$249.47