Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $218.78	Professional		$125.89	$165.96	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $251.19	Professional		$190.55	$190.55	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $707.95	Professional		$239.88	$512.86	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $269.15	Professional		$120.23	$177.83	$269.15