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 / $218.78	Professional		$123.03	$154.88	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $213.80	Professional		$162.18	$162.18	$213.80
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 $199.53 / $436.52 / $602.56	Professional		$199.53	$436.52	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $281.84	Professional		$100.00	$151.36	$281.84