Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $1,513.56	Facility		$186.21	$186.21	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $199.53	Professional		$173.78	$186.21	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $218.78	Professional		$177.83	$199.53	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $954.99	Facility		$407.38	$416.87	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $501.19	Professional		$288.40	$288.40	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $309.03	Professional		$104.71	$112.20	$309.03