Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $537.03	Professional		$208.93	$245.47	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $363.08	Professional		$275.42	$275.42	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $426.58	Professional		$263.03	$263.03	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $741.31 / $1,023.29	Professional		$338.84	$741.31	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $478.63	Professional		$169.82	$257.04	$478.63