Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $602.56	Professional		$141.25	$251.19	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $239.88	Professional		$229.09	$229.09	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $251.19	Professional		$154.88	$154.88	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $501.19 / $691.83	Professional		$229.09	$501.19	$691.83
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 $114.82 / $173.78 / $323.59	Professional		$114.82	$173.78	$323.59