Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $509.22 / $620.20	Facility		$164.25	$509.22	$620.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $165.90	Professional		$164.25	$164.25	$165.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $163.21 / $190.92	Professional		$163.21	$163.21	$190.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $154.96 / $164.25	Facility		$154.96	$154.96	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $197.02	Professional		$164.25	$164.25	$197.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $152.57 / $171.64	Professional		$139.61	$152.57	$171.64
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $182.84 / $241.78	Professional		$164.25	$182.84	$241.78