Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $177.83 / $234.42	Professional		$19.95	$177.83	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $257.04	Professional		$208.93	$229.09	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $380.19	Professional		$263.03	$295.12	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $112.20 / $295.12	Facility		$70.79	$112.20	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $389.05	Professional		$104.71	$218.78	$389.05