Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.49 / $330.25 / $878.08	Facility		$262.49	$330.25	$878.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $148.96	Professional		$108.47	$108.47	$148.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.29 / $130.94	Professional		$108.47	$109.29	$130.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $108.47	Facility		$102.33	$102.33	$108.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $162.46	Professional		$108.47	$108.47	$162.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $108.47 / $398.20	Professional		$92.20	$108.47	$398.20
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $120.75 / $159.66	Professional		$108.47	$120.75	$159.66