Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $758.58 / $933.25	Facility		$245.47	$758.58	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $257.04	Professional		$245.47	$245.47	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $794.33	Professional		$331.13	$380.19	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $245.47 / $245.47	Facility		$229.09	$245.47	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $245.47	Professional		$158.49	$208.93	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $398.11	Professional		$245.47	$245.47	$398.11