Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $346.74	Professional		$181.97	$223.87	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $295.12	Professional		$223.87	$223.87	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Professional		$263.03	$263.03	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $602.56 / $831.76	Professional		$275.42	$602.56	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $316.23	Professional		$138.04	$213.80	$316.23