Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $245.47	Professional		$123.03	$144.54	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $208.93	Professional		$162.18	$162.18	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $199.53	Professional		$138.04	$138.04	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $602.56	Professional		$199.53	$436.52	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $281.84	Professional		$100.00	$151.36	$281.84