Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $446.68	Professional		$229.09	$269.15	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $389.05	Professional		$302.00	$302.00	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $398.11	Professional		$269.15	$269.15	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $794.33 / $1,096.48	Professional		$371.54	$794.33	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $524.81	Professional		$186.21	$275.42	$524.81