Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $302.00	Professional		$190.55	$218.78	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $323.59	Professional		$251.19	$251.19	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $363.08	Professional		$257.04	$257.04	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $660.69 / $912.01	Professional		$309.03	$660.69	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $436.52	Professional		$154.88	$229.09	$436.52