Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $251.19	Professional		$169.82	$190.55	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $295.12	Professional		$234.42	$234.42	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $269.15	Professional		$181.97	$181.97	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $602.56 / $831.76	Professional		$275.42	$602.56	$831.76
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 $138.04 / $208.93 / $389.05	Professional		$138.04	$208.93	$389.05