Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.06 / $293.06 / $2,391.39	Facility		$293.06	$293.06	$2,391.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.06 / $293.06 / $293.06	Professional		$293.06	$293.06	$293.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $312.60 / $312.60	Professional		$312.60	$312.60	$312.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $634.98 / $660.37 / $1,420.10	Facility		$634.98	$660.37	$1,420.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $448.93 / $561.16	Professional		$448.93	$448.93	$561.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.28 / $794.28 / $794.28	Professional		$794.28	$794.28	$794.28
United Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $164.12 / $164.12	Facility		$164.12	$164.12	$164.12
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $175.84 / $355.57	Professional		$164.12	$175.84	$355.57