Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $136.69 / $136.69	Facility		$136.69	$136.69	$136.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $136.69 / $136.69	Professional		$87.92	$136.69	$136.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $278.85 / $278.85 / $278.85	Professional		$278.85	$278.85	$278.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $281.45 / $331.13	Professional		$171.43	$281.45	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $420.28	Professional		$259.31	$259.31	$420.28