Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $218.78	Professional		$173.78	$208.93	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
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 $204.17 / $204.17 / $288.40	Professional		$204.17	$204.17	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $562.34 / $776.25	Professional		$257.04	$562.34	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $295.12	Professional		$128.82	$199.53	$295.12