Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $213.80	Professional		$128.82	$154.88	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $223.87	Professional		$169.82	$169.82	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $218.78	Professional		$151.36	$151.36	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $457.09 / $630.96	Professional		$208.93	$457.09	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $295.12	Professional		$104.71	$158.49	$295.12