Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $117.49	Professional		$112.20	$112.20	$117.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $416.87	Professional		$199.53	$407.38	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $112.20	Facility		$107.15	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $144.54	Professional		$112.20	$112.20	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $933.25 / $977.24	Professional		$138.04	$933.25	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83