Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $213.80	Professional		$123.03	$154.88	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $281.84	Professional		$251.19	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $323.59	Professional		$229.09	$229.09	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $512.86 / $616.60	Professional		$173.78	$512.86	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $275.42	Professional		$141.25	$213.80	$275.42