Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $208.93	Professional		$120.23	$141.25	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $204.17	Professional		$158.49	$158.49	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $204.17	Professional		$138.04	$138.04	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $426.58 / $588.84	Professional		$194.98	$426.58	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $275.42	Professional		$97.72	$147.91	$275.42