Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $229.09	Professional		$144.54	$162.18	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $251.19	Professional		$190.55	$190.55	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $239.88	Professional		$165.96	$165.96	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $707.95	Professional		$239.88	$512.86	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $331.13	Professional		$120.23	$177.83	$331.13