Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $954.99	Facility		$117.49	$117.49	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $125.89	Professional		$109.65	$120.23	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $138.04	Professional		$112.20	$125.89	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $602.56	Facility		$257.04	$263.03	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $316.23	Professional		$181.97	$181.97	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $194.98	Professional		$66.07	$70.79	$194.98