Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $223.87	Professional		$134.90	$158.49	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $223.87	Professional		$173.78	$173.78	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $239.88	Professional		$165.96	$165.96	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $645.65	Professional		$213.80	$467.74	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $245.47	Professional		$107.15	$162.18	$245.47