Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $616.66 / $751.07	Facility		$197.83	$616.66	$751.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $217.62	Professional		$197.83	$197.83	$217.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.65 / $197.83	Professional		$197.65	$197.65	$197.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $186.63 / $197.83	Facility		$186.63	$186.63	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $251.13	Professional		$197.83	$197.83	$251.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $185.06 / $208.20	Professional		$168.16	$185.06	$208.20
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $220.23 / $259.18	Professional		$197.83	$220.23	$259.18