Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $181.97	Professional		$107.15	$125.89	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $186.21	Professional		$141.25	$141.25	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $177.83	Professional		$120.23	$120.23	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $524.81	Professional		$173.78	$380.19	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $245.47	Professional		$87.10	$131.83	$245.47