Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $257.04	Professional		$165.96	$177.83	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $281.84	Professional		$218.78	$218.78	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $223.87	Professional		$158.49	$158.49	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $588.84 / $812.83	Professional		$269.15	$588.84	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $380.19	Professional		$134.90	$204.17	$380.19