Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $257.04	Professional		$165.96	$208.93	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $275.42	Professional		$208.93	$208.93	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $316.23	Professional		$223.87	$223.87	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $562.34 / $776.25	Professional		$257.04	$562.34	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $295.12	Professional		$128.82	$194.98	$295.12