Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $676.23 / $823.61	Facility		$216.90	$676.23	$823.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $219.07	Professional		$216.90	$216.90	$219.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $216.74 / $253.54	Professional		$216.74	$216.74	$253.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $204.63 / $216.90	Facility		$204.63	$204.63	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $274.32	Professional		$216.90	$216.90	$274.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $203.92 / $229.41	Professional		$184.37	$203.92	$229.41
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $241.46 / $255.94	Professional		$216.90	$241.46	$255.94