Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.39 / $248.39 / $248.39	Facility		$248.39	$248.39	$248.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $253.36 / $317.94	Professional		$238.46	$253.36	$317.94
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 / $283.17 / $353.96	Professional		$240.69	$283.17	$353.96
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $260.81	Professional		$248.39	$248.39	$260.81