Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $151.36	Professional		$97.72	$125.89	$151.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $165.96	Professional		$128.82	$128.82	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $208.93	Professional		$141.25	$141.25	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $478.63	Professional		$158.49	$346.74	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $181.97	Professional		$79.43	$120.23	$181.97