Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $147.91	Professional		$93.33	$114.82	$147.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $213.80	Professional		$186.21	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $218.78	Professional		$154.88	$154.88	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $371.54 / $489.78	Professional		$125.89	$371.54	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $218.78	Professional		$112.20	$169.82	$218.78