Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $234.42	Professional		$138.04	$158.49	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Professional		$165.96	$165.96	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $281.84	Professional		$194.98	$194.98	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $616.60	Professional		$208.93	$446.68	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $234.42	Professional		$104.71	$162.18	$234.42