Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $613.13 / $91,786.04	Facility		$253.36	$613.13	$91,786.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Facility		$253.36	$253.36	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.69 / $240.69 / $283.17	Professional		$240.69	$240.69	$283.17
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $402.59	Professional		$248.39	$248.39	$402.59