Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $144.54	Professional		$138.04	$138.04	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $316.23	Professional		$169.82	$218.78	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $138.04 / $138.04	Facility		$128.82	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $144.54	Professional		$138.04	$138.04	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $275.42	Professional		$138.04	$257.04	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $128.82 / $302.00	Professional		$125.89	$128.82	$302.00