Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $169.82	Professional		$162.18	$162.18	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $436.52	Professional		$165.96	$165.96	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $162.18	Facility		$151.36	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $190.55	Professional		$162.18	$162.18	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $426.58 / $446.68	Professional		$138.04	$426.58	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $371.54	Professional		$125.89	$169.82	$371.54