Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $208.93	Professional		$131.83	$144.54	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $229.09	Professional		$173.78	$173.78	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $288.40	Professional		$194.98	$194.98	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $645.65	Professional		$213.80	$467.74	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $302.00	Professional		$107.15	$162.18	$302.00