Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $331.13 / $870.96	Facility		$104.71	$331.13	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,737.80	Professional		$104.71	$104.71	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $169.82	Professional		$104.71	$104.71	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $104.71	Facility		$97.72	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $380.19	Professional		$89.13	$104.71	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $165.96	Facility		$104.71	$104.71	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $158.49	Professional		$104.71	$114.82	$158.49