Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $645.65	Professional		$162.18	$208.93	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $158.49	Professional		$117.49	$131.83	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $407.38	Professional		$269.15	$309.03	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $426.58	Professional		$177.83	$257.04	$426.58