Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $295.12	Professional		$173.78	$213.80	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $295.12	Professional		$239.88	$239.88	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $302.00	Professional		$213.80	$213.80	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $616.60 / $851.14	Professional		$281.84	$616.60	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $398.11	Professional		$141.25	$213.80	$398.11