Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $616.60 / $741.31	Facility		$194.98	$616.60	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $295.12	Professional		$194.98	$194.98	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $245.47	Professional		$165.96	$194.98	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $208.93	Facility		$194.98	$194.98	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $223.87	Professional		$194.98	$208.93	$223.87