Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $691.83 / $831.76	Facility		$218.78	$691.83	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Professional		$218.78	$218.78	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $338.84	Professional		$218.78	$218.78	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $218.78 / $218.78	Facility		$208.93	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Professional		$218.78	$218.78	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $234.42	Professional		$186.21	$218.78	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $234.42	Facility		$218.78	$218.78	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $251.19	Professional		$218.78	$234.42	$251.19