Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $537.03 / $26,915.35	Facility		$173.78	$537.03	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $275.42	Professional		$173.78	$173.78	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $269.15	Professional		$173.78	$173.78	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $173.78	Facility		$162.18	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $194.98	Professional		$147.91	$173.78	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Facility		$173.78	$173.78	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $194.98	Professional		$173.78	$186.21	$194.98