Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $989.92	Facility		$204.96	$204.96	$989.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Professional		$204.96	$204.96	$204.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $620.16 / $620.16 / $620.16	Professional		$620.16	$620.16	$620.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.35 / $193.35 / $204.96	Facility		$193.35	$193.35	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $261.02	Professional		$204.96	$204.96	$261.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $174.22 / $1,139.94	Professional		$174.22	$174.22	$1,139.94
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $332.20	Professional		$204.96	$204.96	$332.20