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 $173.78 / $208.93 / $309.03	Professional		$173.78	$208.93	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $295.12	Professional		$234.42	$234.42	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $288.40	Professional		$199.53	$199.53	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $616.60 / $851.14	Professional		$281.84	$616.60	$851.14
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 $141.25 / $218.78 / $323.59	Professional		$141.25	$218.78	$323.59