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 $158.49 / $177.83 / $245.47	Professional		$158.49	$177.83	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $251.19	Professional		$218.78	$218.78	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $257.04	Professional		$173.78	$173.78	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $724.44	Professional		$239.88	$524.81	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $275.42	Professional		$120.23	$181.97	$275.42