Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $288.40	Professional		$147.91	$186.21	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $257.04	Professional		$194.98	$194.98	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $251.19	Professional		$177.83	$177.83	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $524.81 / $724.44	Professional		$245.47	$524.81	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $338.84	Professional		$123.03	$181.97	$338.84