Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $269.15	Professional		$177.83	$199.53	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $281.84	Professional		$245.47	$245.47	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $288.40	Professional		$194.98	$194.98	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $794.33	Professional		$269.15	$575.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $309.03	Professional		$134.90	$199.53	$309.03