Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $794.33	Professional		$151.36	$251.19	$794.33
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 $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $223.87	Professional		$154.88	$154.88	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $537.03 / $741.31	Professional		$245.47	$537.03	$741.31
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 $123.03 / $186.21 / $346.74	Professional		$123.03	$186.21	$346.74